BRUCE J MASSEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

BRUCE J

Last Name

MASSEL

Suffix

Business Name

BRUCE J MASSEL MD

Original Issue Date

08/13/1986

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023