IGOR IRVIN BUSSEL MD - Medical Doctor License in Illinois | # 125065126

IGOR IRVIN BUSSEL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065126

License Status

EXPIRED

Business

N

Title

MD

First Name

IGOR

Middle

IRVIN

Last Name

BUSSEL

Business Name

IGOR IRVIN BUSSEL MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2015

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/04/2015