Indiana
Professional Licensing Agency
John Paul Cusack
Controlled Substance Registration - Physician
License number
01042414B
Date granted
08/03/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3554 Promenade Parkway, Suite F, Lafayette IN 47909
indianalicensing.org
ID 5879929
LAST UPDATED 2026-04-10 12:48:47 UTC
LAST UPDATED 2026-04-10 12:48:47 UTC
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