DORIS FAY NUSSENBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

DORIS

Middle

FAY

Last Name

NUSSENBAUM

Suffix

Business Name

DORIS FAY NUSSENBAUM MD

Original Issue Date

09/16/1998

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023