BLAKELYN BUSSE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159450

License Status

ACTIVE

Business

Title

First Name

BLAKELYN

Last Name

BUSSE

Business Name

BLAKELYN BUSSE DO

Original Issue Date

02/15/2022

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/27/2023