VIDA R KASUBA MD - Medical Doctor License in Pennsylvania | # 125022739

VIDA R KASUBA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022739

License Status

EXPIRED

Business

N

Title

MD

First Name

VIDA

Middle

R

Last Name

KASUBA

Business Name

VIDA R KASUBA MD

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

07/01/1991

State

PA

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006