TODD G BUSSIAN OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

ACTIVE

Business

First Name

TODD G

Last Name

BUSSIAN

Suffix

Business Name

TODD G BUSSIAN OD

Original Issue Date

05/22/1996

Effective Date

03/14/2024

Expiration Date

03/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026