CYNTHIA CLARK CUSHMAN
Controlled Substance Registration - Physician
Indiana 01046663B Expired
This Indiana license was held by CYNTHIA CLARK CUSHMAN. The license is no longer active. It was granted on 06/23/1997 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01046663B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/23/1997 (almost 28 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
MADISON CENTER AND HOSPITAL, 403 EAST MADISON, SOUTH BEND IN 46617