Staci Dione Bush

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002164

Status

Inactive

First issued

October 30, 2003

Expired

March 1, 2012

License holder

Staci Dione Bush

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

04/21/2010

Other Illinois licenses under this name

• IL
  Staci Dione Bush

  License 38*****19

  Physician Assistant Controlled Substance
  Inactive

  Chicago, IL

  Expired Mar 1, 2012

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