ELISSA SUZANNE BREBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111827

License Status

ACTIVE

Business

First Name

ELISSA

Middle

SUZANNE

Last Name

BREBACH

Suffix

Business Name

ELISSA SUZANNE BREBACH MD

Original Issue Date

07/12/2004

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/18/2023