LISA ANN BUSTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061716

License Status

EXPIRED

Business

First Name

LISA

Middle

ANN

Last Name

BUSTIN

Suffix

Business Name

LISA ANN BUSTIN MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015