BARRY ROBERT RUSH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069509

License Status

EXPIRED

Business

Title

First Name

BARRY

Middle

ROBERT

Last Name

RUSH

Business Name

BARRY ROBERT RUSH MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/11/2022