BENNY S BUSLON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065512

License Status

INACTIVE

Business

First Name

BENNY S

Last Name

BUSLON

Business Name

BENNY S BUSLON

Original Issue Date

10/19/1982

Effective Date

10/19/1982

Expiration Date

07/31/1993

City

PLYMOUTH

State

Zip

46563

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006