JORGE BRUNELLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033865

License Status

EXPIRED

Business

First Name

JORGE

Last Name

BRUNELLE

Business Name

JORGE BRUNELLE

Original Issue Date

08/04/1995

Effective Date

08/04/1995

Expiration Date

08/02/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006