JASON M HUSTON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050864

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

HUSTON

Suffix

Business Name

JASON M HUSTON DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/19/2011