RANDALL LOUIS BUSCH MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000178

License Status

NOT RENEWED

Business

Title

First Name

RANDALL LOUIS

Last Name

BUSCH

Business Name

RANDALL LOUIS BUSCH MD

Original Issue Date

12/16/1989

Effective Date

12/16/1989

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/13/2005