BRUCE JONATHAN BRINCKO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

JONATHAN

Last Name

BRINCKO

Suffix

DPM

Business Name

BRUCE JONATHAN BRINCKO DPM

Original Issue Date

08/07/1985

Effective Date

08/07/1985

Expiration Date

01/31/1987

City

CLIFTON

State

Zip

60927

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006