SEAN M BRUGGINK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000899

License Status

EXPIRED

Business

First Name

SEAN

Middle

Last Name

BRUGGINK

Business Name

SEAN M BRUGGINK

Original Issue Date

04/30/2012

Effective Date

04/30/2012

Expiration Date

05/29/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/02/2012