MARC SHELDON NUSHOLTZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114860

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

12/22/2014

Expiration Date

07/31/2017

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017