License holder summary

Rebecca Lee Bushong is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rebecca Lee Bushong is Spencer Dermotology Associates LLC, 1601 Lafayette Road, Suite 100, Crawfordsville IN 47933. This licensed professional license is current. The license was granted 03/18/1988 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rebecca Lee Bushong
Controlled Substance Registration - Physician
License number
01036464B
Date granted
03/18/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Spencer Dermotology Associates LLC, 1601 Lafayette Road, Suite 100, Crawfordsville IN 47933
indianalicensing.org
ID 5840464
LAST UPDATED 2024-05-01 03:10:24 UTC

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