NINA KAYEUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

NINA

Last Name

KAYEUM

Business Name

NINA KAYEUM MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017