License holder summary

CYNTHIA CLARK CUSHMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CYNTHIA CLARK CUSHMAN is MADISON CENTER AND HOSPITAL, 403 EAST MADISON, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 06/23/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

CYNTHIA CLARK CUSHMAN
Controlled Substance Registration - Physician
License number
01046663B
Date granted
06/23/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MADISON CENTER AND HOSPITAL, 403 EAST MADISON, SOUTH BEND IN 46617
indianalicensing.org
ID 5920613
LAST UPDATED 2024-03-01 14:15:28 UTC

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