PERRY D NISEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096653

License Status

NOT RENEWED

Business

First Name

PERRY D

Last Name

NISEN

Suffix

Business Name

PERRY D NISEN MD

Original Issue Date

09/08/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WYNNEWOOD

State

Zip

19096

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

12/04/2014