SONJA A CUSAC Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003076

License Status

NOT RENEWED

Business

First Name

SONJA

Middle

Last Name

CUSAC

Business Name

SONJA A CUSAC

Original Issue Date

09/15/1998

Effective Date

09/15/1998

Expiration Date

09/30/2003

City

RUTLAND

State

Zip

61358

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005