DAVID JACOB NUSBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162780

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

JACOB

Last Name

NUSBAUM

Business Name

DAVID JACOB NUSBAUM MD

Original Issue Date

11/01/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023