KYLIE BUSSIE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072708

License Status

CANCELLED

Business

Title

First Name

KYLIE

Last Name

BUSSIE

Prefix

Business Name

KYLIE BUSSIE MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/22/2018