ALLISON A BUSUITO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

INOPERATIVE

Business

First Name

ALLISON

Middle

Last Name

BUSUITO

Business Name

ALLISON A BUSUITO

Original Issue Date

12/04/2015

Effective Date

12/04/2015

Expiration Date

03/01/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2018