JEROME HOWARD BUSTER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046769

License Status

EXPIRED

Business

First Name

JEROME

Middle

HOWARD

Last Name

BUSTER

Suffix

Business Name

JEROME HOWARD BUSTER DO

Original Issue Date

08/01/2010

Effective Date

08/01/2010

Expiration Date

01/31/2011

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

M.L.B. Approved Program

Ever Disciplined

LastModifiedDate

07/15/2010