JEFFREY LEE BUSH Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

INOPERATIVE

Business

First Name

JEFFREY

Middle

LEE

Last Name

BUSH

Business Name

JEFFREY LEE BUSH

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

09/30/1998

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005