KSHITI J BUCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

KSHITI

Middle

Last Name

BUCH

Business Name

KSHITI J BUCH MD

Original Issue Date

04/09/2012

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

HANOVER PARK

State

Zip

60133

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021