EDWARD LEONARD BUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034265

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

LEONARD

Last Name

BUSCH

Suffix

Business Name

EDWARD LEONARD BUSCH MD

Original Issue Date

08/23/1956

Effective Date

08/23/1956

City

FORT WORTH

State

Zip

76104

Ever Disciplined

LastModifiedDate

09/20/2006