BRANDON CHASE KRUSE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

BRANDON

Middle

CHASE

Last Name

KRUSE

Business Name

BRANDON CHASE KRUSE DO

Original Issue Date

12/10/2022

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023