MARK B BUSCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006948

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

BUSCH

Suffix

Business Name

MARK B BUSCH OD

Original Issue Date

07/29/1977

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021