DINA BRUCE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

NOT RENEWED

N

DO

DINA

BRUCE

DINA BRUCE DO

08/02/2013

07/29/2014

07/31/2017

CHICAGO

IL

60607

COOK

PRACTITIONER

II III IV V

N

11/01/2017