CHARLES R NUSS JR DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106905

License Status

INACTIVE

Business

First Name

CHARLES

Middle

Last Name

NUSS

Suffix

JR DO

Business Name

CHARLES R NUSS JR DO

Original Issue Date

05/09/2002

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

NEW YORK

State

Zip

10013

Ever Disciplined

LastModifiedDate

08/08/2019