PETER BRUKASZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

PETER

Last Name

BRUKASZ

Business Name

PETER BRUKASZ

Original Issue Date

08/10/2005

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

ADDISON

State

Zip

60101

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023