NICHOLAS SURACI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156359

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Last Name

SURACI

Business Name

NICHOLAS SURACI MD

Original Issue Date

03/31/2021

Effective Date

03/31/2021

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

11/30/2023