ROBERT LEE BUSHMAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002819

License Status

NOT RENEWED

Business

First Name

ROBERT LEE

Last Name

BUSHMAN

Business Name

ROBERT LEE BUSHMAN

Original Issue Date

07/11/1975

Effective Date

07/11/1975

Expiration Date

01/31/2005

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006