HARUO KUSAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

HARUO

Last Name

KUSAMA

Suffix

Business Name

HARUO KUSAMA MD

Original Issue Date

01/09/1987

Effective Date

01/09/1987

Expiration Date

07/31/1990

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006