RALPH J CUSICK JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

RALPH J

Last Name

CUSICK JR

Suffix

Business Name

RALPH J CUSICK JR MD

Original Issue Date

09/02/1986

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023