DARLA DIANE BUSHUE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006749

License Status

ACTIVE

Business

First Name

DARLA DIANE

Last Name

BUSHUE

Business Name

DARLA DIANE BUSHUE

Original Issue Date

08/06/1988

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

SHUMWAY

State

Zip

62461

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/04/2024