CHRISTOPHER MICHAEL BRUSALIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159907

License Status

NOT RENEWED

Business

Title

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

BRUSALIS

Business Name

CHRISTOPHER MICHAEL BRUSALIS MD

Original Issue Date

03/22/2022

Effective Date

03/22/2022

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10021

Ever Disciplined

LastModifiedDate

11/30/2023