BRUCE A MALMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

MALMER

Suffix

Business Name

BRUCE A MALMER MD

Original Issue Date

01/24/1986

Effective Date

01/24/1986

Expiration Date

07/31/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006