GREGORY S BUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

BUSSELL

Suffix

Business Name

GREGORY S BUSSELL MD

Original Issue Date

12/05/2000

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023