MATTHEW J BRUNO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

BRUNO

Business Name

MATTHEW J BRUNO

Original Issue Date

08/20/2002

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026