ELIZA GALLO BRUSCATO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099288

License Status

NOT RENEWED

Business

First Name

ELIZA

Last Name

GALLO BRUSCATO

Business Name

ELIZA GALLO BRUSCATO

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

07/31/2002

City

SMYRNA

State

Zip

30080

County

GEORGIA

Ever Disciplined

LastModifiedDate

06/11/2013