NUSRAT MUSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059683

License Status

NOT RENEWED

Business

First Name

NUSRAT

Last Name

MUSA

Suffix

Business Name

NUSRAT MUSA MD

Original Issue Date

10/26/1979

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014