BRIAN ROBERT BUSH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070256

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

ROBERT

Last Name

BUSH

Business Name

BRIAN ROBERT BUSH MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/20/2017