JULIA ROSE BRUENE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058044

License Status

CANCELLED

Business

Title

First Name

JULIA

Middle

ROSE

Last Name

BRUENE

Business Name

JULIA ROSE BRUENE MD

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/19/2010