GAMELI DEKAYIE BUSH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

GAMELI

Middle

DEKAYIE

Last Name

BUSH

Business Name

GAMELI DEKAYIE BUSH MD

Original Issue Date

04/10/2013

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023