AMANDA JO BUSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125964

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

Last Name

BUSH

Business Name

AMANDA JO BUSH MD

Original Issue Date

06/08/2010

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

11/30/2023