JOSEPH ROBERT BRUCKNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

JOSEPH ROBERT

Last Name

BRUCKNER

Suffix

Business Name

JOSEPH ROBERT BRUCKNER MD

Original Issue Date

01/01/1997

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014