SOUSAN MUNIM NUMANN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103513

License Status

INACTIVE

Business

First Name

SOUSAN

Middle

MUNIM

Last Name

NUMANN

Suffix

Business Name

SOUSAN MUNIM NUMANN MD

Original Issue Date

09/21/2000

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

GLEN HEAD

State

Zip

11545

Ever Disciplined

LastModifiedDate

04/05/2020