Blaine Patrick Cusack

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019019211

Status

Expired (Not Renewed)

First issued

August 16, 1984

Expired

September 30, 2024

License holder

Blaine Patrick Cusack

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

11/10/2021

Ever disciplined

Yes

Discipline case

1991004993

Discipline action

Suspension

Discipline reason

Aleged multiple violations of the Illinois Dental Practice Act.

Discipline dates

08/18/1994 to 09/16/1994

Discipline action

Fine

Discipline dates

08/18/1994

Discipline action

Probation

Discipline dates

09/17/1994 to 09/16/1996

Other Illinois licenses under this name

• IL
  Blaine Patrick Cusack

  License 31*****60

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Countryside, IL

  Expired Sep 30, 2024

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