CARLA M CANUSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087746

License Status

NOT RENEWED

Business

First Name

CARLA M

Last Name

CANUSO

Suffix

Business Name

CARLA M CANUSO MD

Original Issue Date

11/09/1993

Effective Date

11/09/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006