JEANNE BLAIR NOVAS BUSANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

JEANNE

Middle

BLAIR

Last Name

NOVAS BUSANO

Suffix

Business Name

JEANNE BLAIR NOVAS BUSANO MD

Original Issue Date

08/13/1987

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023