MICHAEL ANTHONY BRUSCO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052781

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

BRUSCO

Business Name

MICHAEL ANTHONY BRUSCO MD

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/15/2018