PAUL MICHAEL DE BUSTROS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077537

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

MICHAEL

Last Name

DE BUSTROS

Business Name

PAUL MICHAEL DE BUSTROS MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

ORLAND PARK

State

Zip

60467

County

WILL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

04/06/2022