RUSSELL EDWARD BUSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056998

License Status

NOT RENEWED

Business

First Name

RUSSELL EDWARD

Last Name

BUSS

Suffix

Business Name

RUSSELL EDWARD BUSS MD

Original Issue Date

07/03/1978

Effective Date

07/03/1978

Expiration Date

07/31/1990

City

MANASSAS

State

Zip

20110

County

VIRGINIA

Ever Disciplined

LastModifiedDate

05/08/2008