KATHERINE ANNE CUSACK MD - Medical Doctor License in Illinois | # 125065482

KATHERINE ANNE CUSACK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065482

License Status

EXPIRED

Business

N

Title

MD

First Name

KATHERINE

Middle

ANNE

Last Name

CUSACK

Business Name

KATHERINE ANNE CUSACK MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

State

IL

Specialty/Qualifier

Transitional Year

Ever Disciplined

N

LastModifiedDate

09/04/2015