OLGA O BRUSIL 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

First Name

OLGA

Middle

Last Name

BRUSIL

Suffix

Business Name

OLGA O BRUSIL MD

Original Issue Date

06/29/2004

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021