KYLIE BUSSIE MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206448

License Status

NOT RENEWED

Business

Title

First Name

KYLIE

Last Name

BUSSIE

Prefix

Business Name

KYLIE BUSSIE MD

Original Issue Date

09/04/2011

Effective Date

03/20/2014

Expiration Date

03/31/2015

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015