MARY EVELYN KUSSMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

MARY

Middle

EVELYN

Last Name

KUSSMAN

Suffix

Business Name

MARY EVELYN KUSSMAN MD

Original Issue Date

06/14/2010

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023