JEFFREY LEE BUSH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

LEE

Last Name

BUSH

Business Name

JEFFREY LEE BUSH

Original Issue Date

11/30/1994

Effective Date

11/30/1994

Expiration Date

09/30/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005