CHRISTOPHER MICHAEL BRUSALIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

BRUSALIS

Business Name

CHRISTOPHER MICHAEL BRUSALIS MD

Original Issue Date

05/13/2022

Effective Date

05/13/2022

Expiration Date

07/31/2023

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023