AMANDA JO BUSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

Last Name

BUSH

Business Name

AMANDA JO BUSH MD

Original Issue Date

06/25/2010

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023