MAX BUSTILLO MD - Medical Doctor License in Illinois | # 125083893

MAX BUSTILLO MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083893

License Status

ACTIVE

Business

N

Title

MD

First Name

MAX

Last Name

BUSTILLO

Business Name

MAX BUSTILLO MD

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

06/24/2027

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

01/03/2025