ANGELA MARIE DIETRICH-KUSCH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000311

License Status

EXPIRED

Business

First Name

ANGELA

Middle

MARIE

Last Name

DIETRICH-KUSCH

Suffix

Business Name

ANGELA MARIE DIETRICH-KUSCH MD

Original Issue Date

02/17/2010

Effective Date

02/17/2010

Expiration Date

08/16/2010

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/13/2010