BRUCE C SUMMERVILLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

BRUCE C

Last Name

SUMMERVILLE

Suffix

Business Name

BRUCE C SUMMERVILLE MD

Original Issue Date

08/24/1999

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023