JASON ALEXANDER BUSCHMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

Title

DDS

First Name

JASON

Middle

ALEXANDER

Last Name

BUSCHMAN

Business Name

JASON ALEXANDER BUSCHMAN DDS

Original Issue Date

08/15/2016

Effective Date

08/15/2016

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018