JULIA A BRUCKNER 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

JULIA

Middle

Last Name

BRUCKNER

Business Name

JULIA A BRUCKNER

Original Issue Date

08/31/2000

Effective Date

08/31/2000

Expiration Date

07/31/2008

City

AURORA

State

Zip

60504

County

KANE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/06/2008