CERISE JESSICA BUSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

CERISE

Middle

JESSICA

Last Name

BUSH

Business Name

CERISE JESSICA BUSH MD

Original Issue Date

02/17/2009

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021