ALAN D COLLEBRUSCO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023377

License Status

EXPIRED

Business

First Name

ALAN

Middle

Last Name

COLLEBRUSCO

Business Name

ALAN D COLLEBRUSCO

Original Issue Date

04/25/1989

Effective Date

04/25/1989

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006