MALLORY LEEANN JOHNSON DPT - Physical Therapist License in Indiana | # 070027202

MALLORY LEEANN JOHNSON DPT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027202

License Status

NOT RENEWED

Business

N

Title

DPT

First Name

MALLORY

Middle

LEEANN

Last Name

JOHNSON

Business Name

MALLORY LEEANN JOHNSON DPT

Original Issue Date

01/03/2023

Effective Date

01/03/2023

Expiration Date

09/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/27/2025