KIM C NUSSBAUM - Medical Doctor License in Arizona | # 036109807

KIM C NUSSBAUM

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109807

License Status

NOT RENEWED

Business

N

First Name

KIM

Middle

C

Last Name

NUSSBAUM

Business Name

KIM C NUSSBAUM

Original Issue Date

07/30/2003

Effective Date

05/19/2011

Expiration Date

07/31/2014

State

AZ

Ever Disciplined

N

LastModifiedDate

11/17/2014