BRUCE J MONTELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

BRUCE J

Last Name

MONTELLA

Suffix

Business Name

BRUCE J MONTELLA MD

Original Issue Date

09/19/1996

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023