VIDA R KASUBA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022739

License Status

EXPIRED

Business

Title

First Name

VIDA

Middle

Last Name

KASUBA

Business Name

VIDA R KASUBA MD

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

07/01/1991

City

MOON TWP

State

Zip

15108

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006