NICHOLAS ANTHONY KUSNEZOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147531

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

ANTHONY

Last Name

KUSNEZOV

Business Name

NICHOLAS ANTHONY KUSNEZOV MD

Original Issue Date

10/03/2018

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

LA JOLLA

State

Zip

92037

Ever Disciplined

LastModifiedDate

05/10/2024