MICHAEL L NUSSBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068783

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

NUSSBAUM

Suffix

Business Name

MICHAEL L NUSSBAUM MD

Original Issue Date

06/14/1984

Effective Date

06/14/1984

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006