JOHN FAWBUSH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

JOHN

Last Name

FAWBUSH

Business Name

JOHN FAWBUSH MD

Original Issue Date

08/20/2025

Effective Date

08/20/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

08/20/2025