WALTER B BUSSE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

INACTIVE

Business

First Name

WALTER B

Last Name

BUSSE

Suffix

DDS

Business Name

WALTER B BUSSE DDS

Original Issue Date

12/01/1989

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2021