IRENE CECILIA KOSSUTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038946

License Status

NOT RENEWED

Business

First Name

IRENE CECILIA

Last Name

KOSSUTH

Suffix

Business Name

IRENE CECILIA KOSSUTH MD

Original Issue Date

02/14/1964

Effective Date

02/14/1964

Expiration Date

07/01/1982

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006