BRIAN P BRUCKNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

BRIAN P

Last Name

BRUCKNER

Suffix

Business Name

BRIAN P BRUCKNER MD

Original Issue Date

01/01/1997

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023