PAUL P BUSSE III MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049778

License Status

INACTIVE

Business

First Name

PAUL P

Last Name

BUSSE III

Suffix

Business Name

PAUL P BUSSE III MD

Original Issue Date

08/28/1974

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/08/2014