BOGDAN ROBERT BUSAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002454

License Status

ACTIVE

Business

Title

DDS

First Name

BOGDAN

Middle

ROBERT

Last Name

BUSAN

Business Name

BOGDAN ROBERT BUSAN DDS

Original Issue Date

07/23/2012

Effective Date

05/12/2024

Expiration Date

09/30/2027

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

05/12/2024