JOHN F BUSH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****13

License Status

NOT RENEWED

Business

First Name

JOHN F

Last Name

BUSH

Suffix

Business Name

JOHN F BUSH OD

Original Issue Date

10/09/2018

Effective Date

10/09/2018

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021