BORIS S KUSNETZOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071405

License Status

ACTIVE

Business

First Name

BORIS S

Last Name

KUSNETZOW

Suffix

Business Name

BORIS S KUSNETZOW MD

Original Issue Date

08/13/1985

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

04/28/2023