Indiana
Professional Licensing Agency
TERRENCE RANDALL CUSACK
Physician Assistant
License number
10000058A
Date granted
10/02/1981
Date expires
06/30/1982
Class
Physician Assistant
Status
Expired
Address
WABASH IN 46992
indianalicensing.org
ID 8392011
LAST UPDATED 2026-06-06 16:21:11 UTC
LAST UPDATED 2026-06-06 16:21:11 UTC
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