MATTHEW LEE BUSAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

LEE

Last Name

BUSAM

Suffix

Business Name

MATTHEW LEE BUSAM MD

Original Issue Date

03/31/2006

Effective Date

03/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011