SHANE DAVID BUSH MD - Medical Doctor License in Indiana | # 036130782

SHANE DAVID BUSH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130782

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SHANE

Middle

DAVID

Last Name

BUSH

Business Name

SHANE DAVID BUSH MD

Original Issue Date

07/09/2012

Effective Date

07/09/2012

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014