ADAM JAY BUFFINGTON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

Title

DPM

First Name

ADAM

Middle

JAY

Last Name

BUFFINGTON

Business Name

ADAM JAY BUFFINGTON DPM

Original Issue Date

07/30/2019

Effective Date

11/17/2024

Expiration Date

01/31/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025