MARY EVELYN KUSSMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126025

License Status

ACTIVE

Business

First Name

MARY

Middle

EVELYN

Last Name

KUSSMAN

Suffix

Business Name

MARY EVELYN KUSSMAN MD

Original Issue Date

06/10/2010

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/11/2023