License holder summary

Bruce Robert Douglas is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Bruce Robert Douglas is 2405 West Prospect Ave, Appleton, WI 54914. This doctor license is not current. The license was granted 07/16/1994 and expired on 09/30/2014.

Department of Safety and Professional Services

Board of Medical Practice

Bruce Robert Douglas
Medical - Physician And Surgeon
License number
37107
Date granted
07/16/1994
Date expires
09/30/2014
Class
Medical - Physician And Surgeon
Status
Inactive
Address
2405 West Prospect Ave, Appleton, WI 54914
doctorsminnesota.org
ID 22199683
LAST UPDATED 2024-02-26 03:38:54 UTC

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