W BRUCE KETEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

W BRUCE

Last Name

KETEL

Suffix

Business Name

W BRUCE KETEL MD

Original Issue Date

01/01/1997

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017