ELISE KORNREICH BRUNSGAARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079790

License Status

EXPIRED

Business

Title

First Name

ELISE

Middle

KORNREICH

Last Name

BRUNSGAARD

Business Name

ELISE KORNREICH BRUNSGAARD MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

11/03/2025