DANIEL BLAISE BRUZZINI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137763

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

BLAISE

Last Name

BRUZZINI

Business Name

DANIEL BLAISE BRUZZINI MD

Original Issue Date

04/10/2015

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

01/20/2025