ANDREW JAMES CUSACK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137856

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

JAMES

Last Name

CUSACK

Business Name

ANDREW JAMES CUSACK DO

Original Issue Date

04/24/2015

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

06/16/2023