MARK ANTHONY NESSIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

MARK

Middle

ANTHONY

Last Name

NESSIM

Suffix

Business Name

MARK ANTHONY NESSIM MD

Original Issue Date

06/25/2008

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023