DAVID A CUSICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

CUSICK

Suffix

Business Name

DAVID A CUSICK MD

Original Issue Date

03/05/1999

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023