MARK DANIEL COUSINEAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

MARK

Middle

DANIEL

Last Name

COUSINEAU

Suffix

Business Name

MARK DANIEL COUSINEAU MD

Original Issue Date

03/01/2017

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023