DAVID RANDALL BRUCE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

DAVID RANDALL

Last Name

BRUCE

Business Name

DAVID RANDALL BRUCE

Original Issue Date

08/15/1985

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023