BENNY S BUSLON - Medical Doctor License in Indiana | # 036065512

BENNY S BUSLON

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065512

License Status

INACTIVE

Business

N

First Name

BENNY S

Last Name

BUSLON

Business Name

BENNY S BUSLON

Original Issue Date

10/19/1982

Effective Date

10/19/1982

Expiration Date

07/31/1993

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006