PATRICIA CUSUMANO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019613

License Status

EXPIRED

Business

First Name

PATRICIA

Last Name

CUSUMANO

Suffix

Business Name

PATRICIA CUSUMANO MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

06/27/1989

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006