WALTER J BEUSSE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024087

License Status

EXPIRED

Business

First Name

WALTER J

Last Name

BEUSSE

Suffix

Business Name

WALTER J BEUSSE DO

Original Issue Date

06/17/1989

Effective Date

06/17/1989

Expiration Date

06/21/1992

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006