JOHN P FEDERBUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JOHN P

Last Name

FEDERBUSCH

Suffix

Business Name

JOHN P FEDERBUSCH MD

Original Issue Date

03/06/2014

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020