MICHAEL ANTHONY BRUSCO MD - Medical Doctor License in Illinois | # 125052781

MICHAEL ANTHONY BRUSCO MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052781

License Status

CANCELLED

Business

N

Title

MD

First Name

MICHAEL

Middle

ANTHONY

Last Name

BRUSCO

Business Name

MICHAEL ANTHONY BRUSCO MD

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

06/19/2008

State

IL

Specialty/Qualifier

Transitional Year

Ever Disciplined

N

LastModifiedDate

06/15/2018