BRIAN CHARLES CUSICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166755

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

CHARLES

Last Name

CUSICK

Business Name

BRIAN CHARLES CUSICK MD

Original Issue Date

08/28/2023

Effective Date

08/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Ever Disciplined

LastModifiedDate

08/01/2023