BRUCE M NIEBYLSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129377

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

Last Name

NIEBYLSKI

Business Name

BRUCE M NIEBYLSKI MD

Original Issue Date

12/19/2011

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

BLOOMFIELD HILLS

State

Zip

48304

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017