KIMBERLY A BUSCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

BUSCH

Suffix

DDS

Business Name

KIMBERLY A BUSCH DDS

Original Issue Date

08/25/1999

Effective Date

08/25/1999

Expiration Date

09/30/2004

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/30/2008