BRETT FREDERICK PLOUSSARD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

BRETT

Middle

FREDERICK

Last Name

PLOUSSARD

Business Name

BRETT FREDERICK PLOUSSARD DO

Original Issue Date

01/07/2025

Effective Date

01/07/2025

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2024