MARLA DIANE KUSHNER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

MARLA

Middle

DIANE

Last Name

KUSHNER

Business Name

MARLA DIANE KUSHNER DO

Original Issue Date

07/09/1990

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023