KRISTI MICHELLE COWELL-KUSAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

KRISTI

Middle

MICHELLE

Last Name

COWELL-KUSAK

Business Name

KRISTI MICHELLE COWELL-KUSAK MD

Original Issue Date

01/12/2022

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023