License holder summary

JACK NUSSBAUM is a Temporary Medical Doctor License licensed to practice in Pennsylvania. The address on file for JACK NUSSBAUM is HONESDALE PA 18431. This licensed professional license is not current. The license was granted 05/10/1999.

Pennsylvania

Department of State

JACK NUSSBAUM
Temporary Medical Doctor License
License number
TL000698A
Date granted
05/10/1999
Class
Temporary Medical Doctor License
Status
Expired
Address
HONESDALE PA 18431
palicensing.org
ID 16649949
LAST UPDATED 2024-05-05 09:43:58 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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