RUSSELL EDWARD BUSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

RUSSELL EDWARD

Last Name

BUSS

Suffix

Business Name

RUSSELL EDWARD BUSS MD

Original Issue Date

06/24/1986

Effective Date

06/24/1986

Expiration Date

07/31/1987

City

JOLIET

State

Zip

60432

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006