STEPHEN M CUSHMAN JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034997

License Status

INACTIVE

Business

First Name

STEPHEN M

Last Name

CUSHMAN JR

Suffix

Business Name

STEPHEN M CUSHMAN JR MD

Original Issue Date

11/27/1957

Effective Date

11/27/1957

Expiration Date

07/31/1987

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006