DAVID JACOB NUSBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

JACOB

Last Name

NUSBAUM

Business Name

DAVID JACOB NUSBAUM MD

Original Issue Date

12/05/2022

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023