BRIAN CHARLES CUSICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

CHARLES

Last Name

CUSICK

Business Name

BRIAN CHARLES CUSICK MD

Original Issue Date

09/14/2023

Effective Date

09/14/2023

Expiration Date

07/31/2026

City

EUSTIS

State

Zip

32726

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/14/2023