EVELENA COUSIN-PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176744

License Status

ACTIVE

Business

Title

First Name

EVELENA

Last Name

COUSIN-PETERSON

Business Name

EVELENA COUSIN-PETERSON MD

Original Issue Date

08/21/2025

Effective Date

08/21/2025

Expiration Date

07/31/2026

City

MARIETTA

State

Zip

30067

Ever Disciplined

LastModifiedDate

08/21/2025