KENNETH GARY BUSCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045735

License Status

ACTIVE

Business

First Name

KENNETH GARY

Last Name

BUSCH

Suffix

Business Name

KENNETH GARY BUSCH MD

Original Issue Date

07/01/1972

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

06/13/2023