BRUCE CHARLES HERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134574

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

CHARLES

Last Name

HERMAN

Business Name

BRUCE CHARLES HERMAN MD

Original Issue Date

02/13/2014

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

GLENDALE

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017