License holder summary

Chantal Cousineau is a Physician licensed to practice in Indiana. The address on file for Chantal Cousineau is alexandria VA 22305. This licensed professional license is current. The license was granted 09/14/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Chantal Cousineau
Physician
License number
01061283A
Date granted
09/14/2005
Date expires
10/31/2015
Class
Physician
Status
Active
Address
alexandria VA 22305
indianalicensing.org
ID 6022321
LAST UPDATED 2026-06-06 04:03:57 UTC

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