MEGAN VIRGINIA SULLIVAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022854

License Status

INACTIVE

Business

First Name

MEGAN

Middle

VIRGINIA

Last Name

SULLIVAN

Business Name

MEGAN VIRGINIA SULLIVAN

Original Issue Date

03/01/2017

Effective Date

09/15/2020

Expiration Date

09/30/2022

City

PINECREST

State

Zip

33156

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2022