MARK H BUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MARK H

Last Name

BUSSELL

Suffix

Business Name

MARK H BUSSELL MD

Original Issue Date

11/13/1989

Effective Date

11/13/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006