LYDIA BRUCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

LYDIA

Last Name

BRUCE

Business Name

LYDIA BRUCE MD

Original Issue Date

07/27/2018

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023