PATRICK LEWIS BRUNO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

CANCELLED

Business

First Name

PATRICK

Middle

LEWIS

Last Name

BRUNO

Suffix

Business Name

PATRICK LEWIS BRUNO MD

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

07/31/2002

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011