GINA L CUSAC Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000915

License Status

ACTIVE

Business

First Name

GINA L

Last Name

CUSAC

Business Name

GINA L CUSAC

Original Issue Date

09/08/1993

Effective Date

12/29/2025

Expiration Date

12/31/2027

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

12/29/2025