License holder summary

Timothy Jay Bussick is a Dental Intern Permit licensed to practice in Indiana. The address on file for Timothy Jay Bussick is Fort Wayne IN 46804-2231. This licensed professional license is not current. The license was granted 05/31/1994 and expired on 05/30/1995.

Indiana

Professional Licensing Agency

Timothy Jay Bussick
Dental Intern Permit
License number
42000056A
Date granted
05/31/1994
Date expires
05/30/1995
Class
Dental Intern Permit
Status
Expired
Address
Fort Wayne IN 46804-2231
indianalicensing.org
ID 5258565
LAST UPDATED 2024-03-21 03:35:43 UTC

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