RANDALL LOUIS BUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091843

License Status

NOT RENEWED

Business

Title

First Name

RANDALL LOUIS

Last Name

BUSCH

Business Name

RANDALL LOUIS BUSCH MD

Original Issue Date

09/16/1995

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

LACEY'S SPRING

State

Zip

35754

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021