BENNY S BUSLON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

BENNY S

Last Name

BUSLON

Business Name

BENNY S BUSLON

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

07/31/1990

City

VALPARAISO

State

Zip

46383

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006