JEANNE BLAIR NOVAS BUSANO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018491

License Status

EXPIRED

Business

First Name

JEANNE

Middle

BLAIR

Last Name

NOVAS BUSANO

Suffix

Business Name

JEANNE BLAIR NOVAS BUSANO MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006