DANIELLA DAVIDA BRUTMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

DANIELLA

Middle

DAVIDA

Last Name

BRUTMAN

Business Name

DANIELLA DAVIDA BRUTMAN MD

Original Issue Date

06/25/2019

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023