MICHELLE THERESA CUSACK - Physical Therapist License in Maine | # 070021657

MICHELLE THERESA CUSACK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021657

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

THERESA

Last Name

CUSACK

Business Name

MICHELLE THERESA CUSACK

Original Issue Date

08/13/2015

Effective Date

08/13/2015

Expiration Date

09/30/2016

State

ME

Ever Disciplined

N

LastModifiedDate

11/26/2016