RAYMOND W BRULLO Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****31

License Status

CANCELLED

Business

First Name

RAYMOND W

Last Name

BRULLO

Business Name

RAYMOND W BRULLO

Original Issue Date

07/13/1983

Effective Date

07/13/1983

Expiration Date

01/31/2003

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006