HERBERT STANLEY COUSSONS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137194

License Status

ACTIVE

Business

Title

First Name

HERBERT

Middle

STANLEY

Last Name

COUSSONS

Business Name

HERBERT STANLEY COUSSONS MD

Original Issue Date

01/30/2015

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

DE PERE

State

Zip

54115

Ever Disciplined

LastModifiedDate

06/14/2023