RICHARD L KUSUNOSE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

KUSUNOSE

Suffix

DPM

Business Name

RICHARD L KUSUNOSE DPM

Original Issue Date

10/09/1990

Effective Date

12/22/2020

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023