WILLIAM J BUSH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003692

License Status

ACTIVE

Business

First Name

WILLIAM J

Last Name

BUSH

Business Name

WILLIAM J BUSH

Original Issue Date

06/22/1984

Effective Date

04/10/2025

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61114

County

BOONE

Ever Disciplined

LastModifiedDate

04/16/2025