JOHN P FEDERBUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

JOHN P

Last Name

FEDERBUSCH

Suffix

Business Name

JOHN P FEDERBUSCH MD

Original Issue Date

05/06/1988

Effective Date

06/13/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020