G JILL BUSSEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

G JILL

Last Name

BUSSEY

Business Name

G JILL BUSSEY

Original Issue Date

03/23/1988

Effective Date

03/23/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005