DONALD J BUSH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****66

License Status

NOT RENEWED

Business

First Name

DONALD J

Last Name

BUSH

Business Name

DONALD J BUSH

Original Issue Date

06/04/1996

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60655

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/06/2014