DANIEL BAVO NISSMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169983

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

BAVO

Last Name

NISSMAN

Business Name

DANIEL BAVO NISSMAN MD

Original Issue Date

04/24/2024

Effective Date

04/24/2024

Expiration Date

07/31/2026

City

RALEIGH

State

Zip

27607

Ever Disciplined

LastModifiedDate

04/24/2024