PATRICK MICHAEL CUSACK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001873

License Status

ACTIVE

Business

First Name

PATRICK MICHAEL

Last Name

CUSACK

Suffix

DMD

Business Name

PATRICK MICHAEL CUSACK DMD

Original Issue Date

08/06/1998

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

08/07/2024