KUSUMA NIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

KUSUMA

Last Name

NIO

Business Name

KUSUMA NIO MD

Original Issue Date

06/10/2016

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021