WADE A BUSHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084664

License Status

NOT RENEWED

Business

First Name

WADE A

Last Name

BUSHMAN

Suffix

Business Name

WADE A BUSHMAN MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006