JONATHAN WILLARD BUSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134248

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

WILLARD

Last Name

BUSH

Business Name

JONATHAN WILLARD BUSH MD

Original Issue Date

11/27/2013

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017