DANIEL AVERY BUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055821

License Status

NOT RENEWED

Business

First Name

DANIEL AVERY

Last Name

BUSCH

Suffix

Business Name

DANIEL AVERY BUSCH MD

Original Issue Date

10/17/1977

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023