Staci Dione Bush
InactiveIllinois license 38*****19
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****19
- Status
- Inactive (Cancelled)
- First issued
- July 28, 2004
- Expired
- March 1, 2012
- License holder
- Staci Dione Bush
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 04/21/2010
Other Illinois licenses under this name
-
IL
InactiveChicago, ILExpired Mar 1, 2012
Contact
Chicago, IL 60659
Cook County