KATHERINE ANNE CUSACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065482

License Status

EXPIRED

Business

Title

First Name

KATHERINE

Middle

ANNE

Last Name

CUSACK

Business Name

KATHERINE ANNE CUSACK MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/04/2015