JENNIFER K BUSSELL - Medical Doctor License in Illinois | # 125032015

JENNIFER K BUSSELL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032015

License Status

EXPIRED

Business

N

First Name

JENNIFER K

Last Name

BUSSELL

Business Name

JENNIFER K BUSSELL

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

06/22/1995

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006