JEREMIAH PAUL SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025470

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

PAUL

Last Name

SULLIVAN

Business Name

JEREMIAH PAUL SULLIVAN

Original Issue Date

08/28/2020

Effective Date

08/28/2020

Expiration Date

09/30/2022

City

CLEARWATER

State

Zip

33763

Ever Disciplined

LastModifiedDate

11/28/2022