JEREMIAH FRANCIS BUSHMAKER Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

JEREMIAH

Middle

FRANCIS

Last Name

BUSHMAKER

Business Name

JEREMIAH FRANCIS BUSHMAKER

Original Issue Date

11/24/2015

Effective Date

12/09/2024

Expiration Date

01/31/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025