BRIAN BAUSANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153951

License Status

ACTIVE

Business

Title

First Name

BRIAN

Last Name

BAUSANO

Business Name

BRIAN BAUSANO MD

Original Issue Date

08/05/2020

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

06/24/2023