JEREMIAH BUSOG PLACIDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129388

License Status

ACTIVE

Business

Title

First Name

JEREMIAH

Middle

BUSOG

Last Name

PLACIDO

Business Name

JEREMIAH BUSOG PLACIDO MD

Original Issue Date

12/21/2011

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

WILLIAMS BAY

State

Zip

53191

County

KANE

Ever Disciplined

LastModifiedDate

04/11/2023