DAVID ELLIOTT DEBRUIN 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

DAVID

Middle

ELLIOTT

Last Name

DEBRUIN

Business Name

DAVID ELLIOTT DEBRUIN MD

Original Issue Date

05/31/2013

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023