DOUGLAS G BUSHELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037839

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

Last Name

BUSHELL

Suffix

Business Name

DOUGLAS G BUSHELL DO

Original Issue Date

05/19/1998

Effective Date

05/19/1998

Expiration Date

06/21/2001

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006