PHILIP DENNIS KOUSOUBRIS MD - Medical Doctor License in Minnesota | # 036159081

PHILIP DENNIS KOUSOUBRIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159081

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PHILIP

Middle

DENNIS

Last Name

KOUSOUBRIS

Business Name

PHILIP DENNIS KOUSOUBRIS MD

Original Issue Date

12/30/2021

Effective Date

12/30/2021

Expiration Date

07/31/2023

State

MN

Ever Disciplined

N

LastModifiedDate

11/30/2023