BRUCE IAN CARLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

IAN

Last Name

CARLIN

Suffix

Business Name

BRUCE IAN CARLIN MD

Original Issue Date

03/19/1998

Effective Date

03/19/1998

Expiration Date

07/31/2005

City

FAIRVEIW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006