CHARLES R NUSS JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039644

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

NUSS

Suffix

JR DO

Business Name

CHARLES R NUSS JR DO

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2002

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006