BRUCE A FELDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

FELDMAN

Suffix

Business Name

BRUCE A FELDMAN MD

Original Issue Date

10/05/1987

Effective Date

10/05/1987

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008