BRUCE E SPIVEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

BRUCE E

Last Name

SPIVEY

Suffix

Business Name

BRUCE E SPIVEY MD

Original Issue Date

01/24/1994

Effective Date

01/24/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006