JAIME B CUSHING DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

JAIME

Middle

Last Name

CUSHING

Suffix

DDS

Business Name

JAIME B CUSHING DDS

Original Issue Date

07/16/2007

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

CHARLESTON

State

Zip

61920

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024