JILLIAN LEIGH BUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119067

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

LEIGH

Last Name

BUSCH

Suffix

Business Name

JILLIAN LEIGH BUSCH MD

Original Issue Date

07/25/2007

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011