ROBERT CUSICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

ROBERT

Last Name

CUSICK

Business Name

ROBERT CUSICK MD

Original Issue Date

05/16/2019

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023