AVIDA NUBIA BUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129396

License Status

ACTIVE

Business

Title

First Name

AVIDA

Middle

NUBIA

Last Name

BUSSELL

Business Name

AVIDA NUBIA BUSSELL MD

Original Issue Date

12/22/2011

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

01/24/2024