CARLA M CANUSO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026274

License Status

EXPIRED

Business

First Name

CARLA M

Last Name

CANUSO

Suffix

Business Name

CARLA M CANUSO MD

Original Issue Date

04/26/1991

Effective Date

04/26/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006