BRYAN MITCHELL KRUSKOL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

BRYAN

Middle

MITCHELL

Last Name

KRUSKOL

Suffix

Business Name

BRYAN MITCHELL KRUSKOL DO

Original Issue Date

07/11/2000

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023