RODNEY BLAINE KUSUMI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115948

License Status

ACTIVE

Business

First Name

RODNEY

Middle

BLAINE

Last Name

KUSUMI

Suffix

Business Name

RODNEY BLAINE KUSUMI MD

Original Issue Date

05/17/2006

Effective Date

11/07/2024

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

11/07/2024