ROBERT M BRUCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BRUCE

Suffix

Business Name

ROBERT M BRUCE MD

Original Issue Date

01/01/1997

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020