BETSY BUSSELL DODSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

BETSY

Middle

BUSSELL

Last Name

DODSON

Business Name

BETSY BUSSELL DODSON

Original Issue Date

09/28/2001

Effective Date

09/28/2001

Expiration Date

03/01/2002

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006