RANDALL LOUIS BUSCH MD - Dentist License in Illinois | # 137000178

RANDALL LOUIS BUSCH MD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000178

License Status

NOT RENEWED

Business

N

Title

MD

First Name

RANDALL LOUIS

Last Name

BUSCH

Business Name

RANDALL LOUIS BUSCH MD

Original Issue Date

12/16/1989

Effective Date

12/16/1989

Expiration Date

09/30/1990

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/13/2005