KATHRYN RUTH VANBUSKIRK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

KATHRYN

Middle

RUTH

Last Name

VANBUSKIRK

Business Name

KATHRYN RUTH VANBUSKIRK

Original Issue Date

05/23/2020

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023