JOHNANNA C SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011851

License Status

NOT RENEWED

Business

First Name

JOHNANNA

Middle

Last Name

SULLIVAN

Business Name

JOHNANNA C SULLIVAN

Original Issue Date

03/27/2000

Effective Date

03/27/2000

Expiration Date

09/30/2004

City

DUBUQUE

State

Zip

52003

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005