PAUL MICHAEL DE BUSTROS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

MICHAEL

Last Name

DE BUSTROS

Business Name

PAUL MICHAEL DE BUSTROS MD

Original Issue Date

02/19/2025

Effective Date

02/19/2025

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2025