CHARLES A BUSH JOSEPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

BUSH JOSEPH

Suffix

Business Name

CHARLES A BUSH JOSEPH MD

Original Issue Date

01/30/2015

Effective Date

01/30/2015

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020