GREGORY S BUSSELL MD - Medical Doctor License in Illinois | # 125034667

GREGORY S BUSSELL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034667

License Status

EXPIRED

Business

N

First Name

GREGORY

Middle

S

Last Name

BUSSELL

Suffix

MD

Business Name

GREGORY S BUSSELL MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/23/2001

State

IL

Specialty/Qualifier

Otolaryngology

Ever Disciplined

N

LastModifiedDate

09/22/2006