That was over 12 years ago in 2009.
Today she is 59, and has starred in 62 movies in total, 18 since My Sister's Keeper was released.
In My Sister's Keeper, I think Joan Cusack looks:
My Sister's Keeper scores 7.2 out of 10 on The Movie Database.
Joan Cusack's first acting role was as 'Shelley' in My Bodyguard, released in 1980 when she was 17.
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