HARUO KUSAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048222

License Status

NOT RENEWED

Business

First Name

HARUO

Last Name

KUSAMA

Suffix

Business Name

HARUO KUSAMA MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1990

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006