MARSHALL F BRUSTEIN 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

MARSHALL

Middle

Last Name

BRUSTEIN

Business Name

MARSHALL F BRUSTEIN

Original Issue Date

07/05/2001

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023