KIMBERLY A BUSCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

BUSCH

Suffix

DDS

Business Name

KIMBERLY A BUSCH DDS

Original Issue Date

04/19/2023

Effective Date

04/19/2023

Expiration Date

09/30/2024

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025