WARD PAUL BUSTER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045274

License Status

EXPIRED

Business

First Name

WARD

Middle

PAUL

Last Name

BUSTER

Suffix

Business Name

WARD PAUL BUSTER DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2003

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006