BORIS S KUSNETZOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

BORIS S

Last Name

KUSNETZOW

Suffix

Business Name

BORIS S KUSNETZOW MD

Original Issue Date

02/07/1986

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60636

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023