SUSAN DIANE JOHNSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003849

License Status

INACTIVE

Business

First Name

SUSAN DIANE

Last Name

JOHNSON

Business Name

SUSAN DIANE JOHNSON

Original Issue Date

12/21/1982

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

LA CANADA

State

Zip

91011

Ever Disciplined

LastModifiedDate

07/13/2006