PATRICIA JOHNSTON MCNUSSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082502

License Status

ACTIVE

Business

First Name

PATRICIA

Last Name

JOHNSTON MCNUSSEN

Suffix

Business Name

PATRICIA JOHNSTON MCNUSSEN MD

Original Issue Date

06/05/1991

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/30/2023