WILLIAM WESLEY BUSCH JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

Title

DDS

First Name

WILLIAM

Middle

WESLEY

Last Name

BUSCH

Suffix

Business Name

WILLIAM WESLEY BUSCH JR DDS

Original Issue Date

01/01/1998

Effective Date

06/18/2012

Expiration Date

09/30/2015

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016