WILLIAM R BRUGGE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000180

License Status

CANCELLED

Business

Title

First Name

WILLIAM

Middle

Last Name

BRUGGE

Business Name

WILLIAM R BRUGGE MD

Original Issue Date

11/12/2002

Effective Date

11/12/2002

Expiration Date

05/19/2003

City

BOSTON

State

Zip

02110

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/23/2006