CHARLES R NUSS JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

NUSS

Suffix

JR DO

Business Name

CHARLES R NUSS JR DO

Original Issue Date

06/24/2002

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011