RODNEY BLAINE KUSUMI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

RODNEY

Middle

BLAINE

Last Name

KUSUMI

Suffix

Business Name

RODNEY BLAINE KUSUMI MD

Original Issue Date

04/14/2011

Effective Date

11/07/2024

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/07/2024