BUSOLE CHARLOTTE MASSUNKEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084893

License Status

ACTIVE

Business

Title

First Name

BUSOLE

Middle

CHARLOTTE

Last Name

MASSUNKEN

Business Name

BUSOLE CHARLOTTE MASSUNKEN MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60644

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/24/2024