BRUCE ARTHUR LOCKWITZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****55

NOT RENEWED

N

BRUCE ARTHUR

LOCKWITZ

MD

BRUCE ARTHUR LOCKWITZ MD

03/08/1983

03/08/1983

07/31/1987

ELKHART

IN

46515

INDIANA

II III IV V

N

09/26/2006