MARK DANIEL COUSINEAU MD - Medical Doctor License in Illinois | # 125044277

MARK DANIEL COUSINEAU MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044277

License Status

EXPIRED

Business

N

First Name

MARK

Middle

DANIEL

Last Name

COUSINEAU

Suffix

MD

Business Name

MARK DANIEL COUSINEAU MD

Original Issue Date

06/22/2002

Effective Date

06/22/2002

Expiration Date

06/23/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006