JEANJIKO D CUISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

JEANJIKO

Middle

Last Name

CUISON

Suffix

Business Name

JEANJIKO D CUISON MD

Original Issue Date

02/20/1997

Effective Date

02/20/1997

Expiration Date

07/31/2008

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011