PATRICK MICHAEL CUSACK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024413

License Status

ACTIVE

Business

First Name

PATRICK MICHAEL

Last Name

CUSACK

Suffix

DMD

Business Name

PATRICK MICHAEL CUSACK DMD

Original Issue Date

03/31/1997

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/07/2024