SERGE N DE BUSTROS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081438

License Status

NOT RENEWED

Business

First Name

SERGE N

Last Name

DE BUSTROS

Suffix

Business Name

SERGE N DE BUSTROS MD

Original Issue Date

10/06/1990

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023