RICHARD L KUSUNOSE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003981

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

KUSUNOSE

Suffix

DPM

Business Name

RICHARD L KUSUNOSE DPM

Original Issue Date

07/01/1986

Effective Date

12/22/2020

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023