KATIE ANN BUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057085

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

ANN

Last Name

BUSCH

Suffix

Business Name

KATIE ANN BUSCH MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/2005

City

SANTA FE

State

Zip

87505

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/09/2006