ADAM JAY BUFFINGTON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

Title

DPM

First Name

ADAM

Middle

JAY

Last Name

BUFFINGTON

Business Name

ADAM JAY BUFFINGTON DPM

Original Issue Date

08/06/2019

Effective Date

08/06/2019

Expiration Date

01/31/2021

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021