JEFFREY JOHN BUSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

JEFFREY JOHN

Last Name

BUSH

Suffix

Business Name

JEFFREY JOHN BUSH MD

Original Issue Date

11/24/1992

Effective Date

11/24/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006