BRANTLEY DANTZLER BUSBEE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055403

License Status

EXPIRED

Business

Title

First Name

BRANTLEY

Middle

DANTZLER

Last Name

BUSBEE

Business Name

BRANTLEY DANTZLER BUSBEE MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/19/2011