License Directory

Blaine Patrick Cusack

Expired

Illinois license 31*****60

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
31*****60
Status
Expired (Not Renewed)
First issued
September 24, 1984
Expired
September 30, 2024
License holder
Blaine Patrick Cusack
Entity type
Individual

Classifications

  • Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules
II III IV V
Current term began
11/10/2021

Other Illinois licenses under this name

  • IL
    Blaine Patrick Cusack
    License 019019211
    Licensed Dentist (Dental)
    Expired
    Countryside, IL
    Expired Sep 30, 2024

Contact

Countryside, IL 60525
Cook County