JILL MARIE COUSINO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150240

License Status

ACTIVE

Business

Title

First Name

JILL

Middle

MARIE

Last Name

COUSINO

Business Name

JILL MARIE COUSINO DO

Original Issue Date

07/17/2019

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53548

Ever Disciplined

LastModifiedDate

05/24/2023