KELLY M JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007674

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

JOHNSON

Business Name

KELLY M JOHNSON

Original Issue Date

07/01/1993

Effective Date

07/01/1993

Expiration Date

09/30/1996

City

PHOENIX

State

Zip

85018

Ever Disciplined

LastModifiedDate

10/14/2005