KENNETH GARY BUSCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

KENNETH GARY

Last Name

BUSCH

Suffix

Business Name

KENNETH GARY BUSCH MD

Original Issue Date

01/01/1997

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023