ELIZA GALLO BRUSCATO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034429

License Status

EXPIRED

Business

First Name

ELIZA

Last Name

GALLO BRUSCATO

Business Name

ELIZA GALLO BRUSCATO

Original Issue Date

05/18/1996

Effective Date

05/18/1996

Expiration Date

06/17/1999

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006