SAMUEL ROBERT NUSSBAUM MD - Medical Doctor License in Indiana | # 036097130

SAMUEL ROBERT NUSSBAUM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097130

License Status

NOT RENEWED

Business

N

First Name

SAMUEL ROBERT

Last Name

NUSSBAUM

Suffix

MD

Business Name

SAMUEL ROBERT NUSSBAUM MD

Original Issue Date

12/26/1997

Effective Date

07/26/2011

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014