BRUCE DOUGLAS HARLEY MD Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

DOUGLAS

Last Name

HARLEY

Suffix

DPM MD

Business Name

BRUCE DOUGLAS HARLEY MD

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

01/31/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006