BRUCE REIDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

BRUCE

Last Name

REIDER

Suffix

Business Name

BRUCE REIDER MD

Original Issue Date

09/29/1981

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023