MARK H BUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078616

License Status

NOT RENEWED

Business

First Name

MARK H

Last Name

BUSSELL

Suffix

Business Name

MARK H BUSSELL MD

Original Issue Date

03/28/1989

Effective Date

03/28/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006