SUSAN NEWMAN NATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

NEWMAN

Last Name

NATHAN

Business Name

SUSAN NEWMAN NATHAN MD

Original Issue Date

10/04/2021

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

NEWTON

State

Zip

02458

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023