PETER BRUKASZ - Medical Doctor License in Illinois | # 125043359

PETER BRUKASZ

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043359

License Status

EXPIRED

Business

N

First Name

PETER

Last Name

BRUKASZ

Business Name

PETER BRUKASZ

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/24/2004

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006