TERRY L BUZZARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

TERRY L

Last Name

BUZZARD

Suffix

Business Name

TERRY L BUZZARD MD

Original Issue Date

10/21/1991

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023