KENNETH LEE BUSSEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051837

License Status

NOT RENEWED

Business

First Name

KENNETH LEE

Last Name

BUSSEY

Suffix

Business Name

KENNETH LEE BUSSEY MD

Original Issue Date

08/15/1975

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/01/2017