MARK DANIEL COUSINEAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142373

License Status

ACTIVE

Business

First Name

MARK

Middle

DANIEL

Last Name

COUSINEAU

Suffix

Business Name

MARK DANIEL COUSINEAU MD

Original Issue Date

02/08/2017

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SANTA ROSA BEACH

State

Zip

32459

Ever Disciplined

LastModifiedDate

07/19/2023