JAMES V LUSTIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047495

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

LUSTIG

Suffix

Business Name

JAMES V LUSTIG MD

Original Issue Date

06/28/1973

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017