CHRISTIE ANN CRUZ BRILLANTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

CHRISTIE

Middle

ANN CRUZ

Last Name

BRILLANTE

Business Name

CHRISTIE ANN CRUZ BRILLANTE MD

Original Issue Date

06/06/2016

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

MARYLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023