BRYAN MITCHELL KRUSKOL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036133

License Status

EXPIRED

Business

First Name

BRYAN

Middle

MITCHELL

Last Name

KRUSKOL

Suffix

Business Name

BRYAN MITCHELL KRUSKOL DO

Original Issue Date

05/16/1997

Effective Date

05/16/1997

Expiration Date

06/30/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006