ALICIA BUSSO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152532

License Status

ACTIVE

Business

First Name

ALICIA

Last Name

BUSSO

Business Name

ALICIA BUSSO

Original Issue Date

04/10/2020

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

11/14/2024