MATTHEW LEE BUSAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115554

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

LEE

Last Name

BUSAM

Suffix

Business Name

MATTHEW LEE BUSAM MD

Original Issue Date

03/28/2006

Effective Date

06/08/2011

Expiration Date

07/31/2014

City

CINCINNATI

State

Zip

45242

County

OHIO

Ever Disciplined

LastModifiedDate

04/08/2014