RYAN PAUL NUSSBAUM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071606

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

PAUL

Last Name

NUSSBAUM

Business Name

RYAN PAUL NUSSBAUM DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/11/2022