BRUCE E DALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068771

License Status

NOT RENEWED

Business

First Name

BRUCE E

Last Name

DALL

Suffix

Business Name

BRUCE E DALL MD

Original Issue Date

06/08/1984

Effective Date

06/08/1984

Expiration Date

07/31/1987

City

KALAMAZOO

State

Zip

49001

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006