JILL MARIE COUSINO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

JILL

Middle

MARIE

Last Name

COUSINO

Business Name

JILL MARIE COUSINO DO

Original Issue Date

06/21/2023

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53548

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023