RANDALL LOUIS BUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

RANDALL LOUIS

Last Name

BUSCH

Business Name

RANDALL LOUIS BUSCH MD

Original Issue Date

07/20/2011

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020