ERIC B NUSSBAUM, MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091211

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

NUSSBAUM,

Suffix

Business Name

ERIC B NUSSBAUM, MD

Original Issue Date

07/11/1995

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017