BRUCE R TIZES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

BRUCE R

Last Name

TIZES

Suffix

Business Name

BRUCE R TIZES MD

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006