JENNIFER K BUSSELL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032015

License Status

EXPIRED

Business

First Name

JENNIFER K

Last Name

BUSSELL

Business Name

JENNIFER K BUSSELL

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

06/22/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006