DAVID A CUSICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024671

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

CUSICK

Suffix

Business Name

DAVID A CUSICK MD

Original Issue Date

04/28/1990

Effective Date

04/28/1990

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006