BRETT FREDERICK PLOUSSARD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173278

License Status

ACTIVE

Business

Title

First Name

BRETT

Middle

FREDERICK

Last Name

PLOUSSARD

Business Name

BRETT FREDERICK PLOUSSARD DO

Original Issue Date

01/07/2025

Effective Date

01/07/2025

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

12/11/2024