CHARLES A BUSH JOSEPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

CHARLES A

Last Name

BUSH JOSEPH

Suffix

Business Name

CHARLES A BUSH JOSEPH MD

Original Issue Date

02/25/2004

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023