AUDREY J BRUELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

AUDREY J

Last Name

BRUELL

Suffix

Business Name

AUDREY J BRUELL MD

Original Issue Date

11/13/1986

Effective Date

11/13/1986

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006