TINA M BRUESCHKE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

BRUESCHKE

Business Name

TINA M BRUESCHKE

Original Issue Date

06/19/2006

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023