SONJA A CUSAC - Physical Therapist License in Illinois | # 160003076

SONJA A CUSAC

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003076

License Status

NOT RENEWED

Business

N

First Name

SONJA

Middle

A

Last Name

CUSAC

Business Name

SONJA A CUSAC

Original Issue Date

09/15/1998

Effective Date

09/15/1998

Expiration Date

09/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005