DIANE LUSAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157136

License Status

ACTIVE

Business

Title

First Name

DIANE

Last Name

LUSAS

Business Name

DIANE LUSAS MD

Original Issue Date

05/30/2021

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

TEANECK

State

Zip

07666

Ever Disciplined

LastModifiedDate

05/10/2023