KRISTIN MICHELLE CULLIVAN - Physical Therapist License in Indiana | # 160008807

KRISTIN MICHELLE CULLIVAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008807

License Status

NOT RENEWED

Business

N

First Name

KRISTIN

Middle

MICHELLE

Last Name

CULLIVAN

Business Name

KRISTIN MICHELLE CULLIVAN

Original Issue Date

10/30/2019

Effective Date

09/09/2021

Expiration Date

09/30/2023

State

IN

Ever Disciplined

N

LastModifiedDate

02/02/2024