DONALD ALLEN BUSBEY III Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

DONALD ALLEN

Last Name

BUSBEY III

Business Name

DONALD ALLEN BUSBEY III

Original Issue Date

10/09/1984

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022