HECTOR O BUSTAMANTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046086

License Status

NOT RENEWED

Business

First Name

HECTOR O

Last Name

BUSTAMANTE

Suffix

Business Name

HECTOR O BUSTAMANTE MD

Original Issue Date

08/17/1972

Effective Date

07/27/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023