BRUCE LANDON BARIDON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

BRUCE LANDON

Last Name

BARIDON

Business Name

BRUCE LANDON BARIDON

Original Issue Date

01/23/1987

Effective Date

01/23/1987

Expiration Date

07/31/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006