DEEP P BUCH MD - Medical Doctor License in Illinois | # 125053495

DEEP P BUCH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053495

License Status

EXPIRED

Business

N

First Name

DEEP

Middle

P

Last Name

BUCH

Suffix

MD

Business Name

DEEP P BUCH MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

06/24/2010