ROBERT JOHN BUSCH DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

INACTIVE

Business

Title

DMD

First Name

ROBERT

Middle

JOHN

Last Name

BUSCH

Business Name

ROBERT JOHN BUSCH DMD

Original Issue Date

07/28/2015

Effective Date

08/10/2018

Expiration Date

12/31/2021

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/08/2021