JOSEPH P COUSINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043060

License Status

EXPIRED

Business

Title

First Name

JOSEPH

Middle

Last Name

COUSINS

Business Name

JOSEPH P COUSINS MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2006

City

SACO

State

Zip

04072

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006