BRUCE DAVID MINSKY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

CANCELLED

Business

First Name

BRUCE

Middle

DAVID

Last Name

MINSKY

Suffix

Business Name

BRUCE DAVID MINSKY MD

Original Issue Date

01/05/2007

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014