SAMUEL LEWIS KUSHNER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131403

License Status

INACTIVE

Business

Title

First Name

SAMUEL

Middle

LEWIS

Last Name

KUSHNER

Business Name

SAMUEL LEWIS KUSHNER DO

Original Issue Date

09/17/2012

Effective Date

09/17/2012

Expiration Date

07/31/2014

City

SOMERSET

State

Zip

08873

Ever Disciplined

LastModifiedDate

11/27/2012