KENNETH LEE BUSSEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

KENNETH LEE

Last Name

BUSSEY

Suffix

Business Name

KENNETH LEE BUSSEY MD

Original Issue Date

06/28/1991

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017