NICHOLAS SURACI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075397

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Last Name

SURACI

Business Name

NICHOLAS SURACI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Cardiothoracic Anesthesiology

Ever Disciplined

LastModifiedDate

02/20/2020