BARBARA KOSSUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

BARBARA

Last Name

KOSSUT

Suffix

Business Name

BARBARA KOSSUT MD

Original Issue Date

08/08/1996

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020