CYNTHIA C CUSHMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

CYNTHIA

Middle

Last Name

CUSHMAN

Business Name

CYNTHIA C CUSHMAN MD

Original Issue Date

08/31/2021

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

PORTLAND

State

Zip

04103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023