ELIZABETH MARIE BRINDISE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

MARIE

Last Name

BRINDISE

Business Name

ELIZABETH MARIE BRINDISE DO

Original Issue Date

09/18/2018

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021