BRUCE KIRKE BIENEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

KIRKE

Last Name

BIENEMAN

Suffix

Business Name

BRUCE KIRKE BIENEMAN MD

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020