MARC SHELDON NUSHOLTZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

MARC

Middle

SHELDON

Last Name

NUSHOLTZ

Suffix

Business Name

MARC SHELDON NUSHOLTZ DO

Original Issue Date

11/10/2005

Effective Date

12/03/2012

Expiration Date

07/31/2014

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017