RANDALL LOUIS BUSCH MD - Dentist License in Illinois | # 019018758

RANDALL LOUIS BUSCH MD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018758

License Status

NOT RENEWED

Business

N

Title

MD

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005