License holder summary

ANITA M CUSACK is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for ANITA M CUSACK is WYNNEWOOD PA 19096. This licensed professional license is not current. The license was granted 10/18/1996 and expired on 04/30/2004.

Pennsylvania

Department of State

ANITA M CUSACK
Certified Registered Nurse Practitioner
License number
SP004114G
Date granted
10/18/1996
Date expires
04/30/2004
Class
Certified Registered Nurse Practitioner
Status
Expired
Address
WYNNEWOOD PA 19096
palicensing.org
ID 16671331
LAST UPDATED 2024-05-07 05:09:42 UTC

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