ROBERT JOHN BUSCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

Title

DMD

First Name

ROBERT

Middle

JOHN

Last Name

BUSCH

Business Name

ROBERT JOHN BUSCH DMD

Original Issue Date

06/12/2015

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2024