MICHAEL L NUSSBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

NUSSBAUM

Suffix

Business Name

MICHAEL L NUSSBAUM MD

Original Issue Date

11/28/1984

Effective Date

11/28/1984

Expiration Date

07/31/1987

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006