GINA ROSE BRUSCIANELLI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008767

License Status

ACTIVE

Business

First Name

GINA

Middle

ROSE

Last Name

BRUSCIANELLI

Business Name

GINA ROSE BRUSCIANELLI

Original Issue Date

12/02/2021

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

02/12/2026