DAVID R BRUAH 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

DAVID R

Last Name

BRUAH

Suffix

Business Name

DAVID R BRUAH MD

Original Issue Date

11/16/1982

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011