JASON MACRAE BUDDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

MACRAE

Last Name

BUDDE

Business Name

JASON MACRAE BUDDE MD

Original Issue Date

01/09/2023

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023