RANDALL LOUIS BUSCH MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018758

License Status

NOT RENEWED

Business

Title

First Name

RANDALL LOUIS

Last Name

BUSCH

Business Name

RANDALL LOUIS BUSCH MD

Original Issue Date

08/08/1983

Effective Date

08/08/1983

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005