KYLE WILLIAM BUSS PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001778

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

WILLIAM

Last Name

BUSS

Suffix

PA-C

Business Name

KYLE WILLIAM BUSS PA-C

Original Issue Date

03/07/2002

Effective Date

03/07/2002

Expiration Date

03/01/2004

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006