BENJAMIN GUERARD BRUCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

GUERARD

Last Name

BRUCE

Business Name

BENJAMIN GUERARD BRUCE MD

Original Issue Date

02/22/2012

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023