IGOR IRVIN BUSSEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065126

License Status

EXPIRED

Business

Title

First Name

IGOR

Middle

IRVIN

Last Name

BUSSEL

Business Name

IGOR IRVIN BUSSEL MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2015

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015