ANGELA JUDETTE CUSICK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024735

License Status

ACTIVE

Business

First Name

ANGELA

Middle

JUDETTE

Last Name

CUSICK

Business Name

ANGELA JUDETTE CUSICK

Original Issue Date

08/31/2019

Effective Date

08/30/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

ADAMS

Ever Disciplined

LastModifiedDate

08/30/2024