BRUCE T KLINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

BRUCE T

Last Name

KLINE

Suffix

Business Name

BRUCE T KLINE MD

Original Issue Date

04/19/1991

Effective Date

09/20/2017

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021