BRUCE MARC BISSONNETTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

BRUCE MARC

Last Name

BISSONNETTE

Suffix

Business Name

BRUCE MARC BISSONNETTE MD

Original Issue Date

10/09/1984

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023