BRUCE ELLIOTT GREENFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040392

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

ELLIOTT

Last Name

GREENFIELD

Suffix

Business Name

BRUCE ELLIOTT GREENFIELD MD

Original Issue Date

06/30/1966

Effective Date

06/30/1966

Expiration Date

07/31/2008

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

03/29/2010

Case Number

2004007093

Action

Probation

Discipline Start Date

02/28/2008

Discipline End Date

03/26/2010