JOHN F BUSH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

NOT RENEWED

Business

First Name

JOHN F

Last Name

BUSH

Suffix

Business Name

JOHN F BUSH OD

Original Issue Date

03/12/2001

Effective Date

01/18/2018

Expiration Date

09/30/2020

City

RED BUD

State

Zip

62278

County

RANDOLPH

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021