BRUCE HERBERT WHITLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062235

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

HERBERT

Last Name

WHITLEY

Suffix

Business Name

BRUCE HERBERT WHITLEY MD

Original Issue Date

06/02/1981

Effective Date

06/02/1981

Expiration Date

07/31/1984

City

INDIANAPOLIS

State

Zip

46260

County

MARION

Ever Disciplined

LastModifiedDate

11/13/2009