GINA ROSE BRUSCIANELLI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

ACTIVE

Business

First Name

GINA

Middle

ROSE

Last Name

BRUSCIANELLI

Business Name

GINA ROSE BRUSCIANELLI

Original Issue Date

09/24/2024

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026