BRUCE LEE WHITAKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157231

License Status

ACTIVE

Business

Title

First Name

BRUCE

Middle

LEE

Last Name

WHITAKER

Business Name

BRUCE LEE WHITAKER DO

Original Issue Date

06/04/2021

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

48042

Ever Disciplined

LastModifiedDate

05/20/2023