MARK H BUSSELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019986

License Status

EXPIRED

Business

First Name

MARK H

Last Name

BUSSELL

Suffix

Business Name

MARK H BUSSELL MD

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006