AINSLEY BUSHA FRESHOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

AINSLEY

Middle

BUSHA

Last Name

FRESHOUR

Business Name

AINSLEY BUSHA FRESHOUR MD

Original Issue Date

01/31/2022

Effective Date

01/31/2022

Expiration Date

07/31/2023

City

JACKSONVILLE

State

Zip

32256

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023