COLLEEN AUDREY SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018163

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

AUDREY

Last Name

SULLIVAN

Business Name

COLLEEN AUDREY SULLIVAN

Original Issue Date

10/05/2010

Effective Date

09/10/2014

Expiration Date

09/30/2016

City

DEWITT

State

Zip

52742

County

IOWA

Ever Disciplined

LastModifiedDate

11/26/2016