License holder summary

BARRY JUSTIN CUSACK is a Board Of Medicine licensed to practice in Idaho. The address on file for BARRY JUSTIN CUSACK is 9550 W Chelan Avenue Garden City ID 83714. This licensed professional license is current. The license was granted 05/31/1990 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

BARRY JUSTIN CUSACK
Board Of Medicine
License number
M-5678
Date granted
05/31/1990
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
9550 W Chelan Avenue Garden City ID 83714
idaholicensing.com
ID 48329294
LAST UPDATED 2024-03-19 23:11:52 UTC

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