ELISSA SUZANNE BREBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

ELISSA

Middle

SUZANNE

Last Name

BREBACH

Suffix

Business Name

ELISSA SUZANNE BREBACH MD

Original Issue Date

04/05/2007

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023