PETER BRUKASZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043359

License Status

EXPIRED

Business

First Name

PETER

Last Name

BRUKASZ

Business Name

PETER BRUKASZ

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/24/2004

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006