MICHELLE ANN SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021971

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANN

Last Name

SULLIVAN

Business Name

MICHELLE ANN SULLIVAN

Original Issue Date

01/11/2016

Effective Date

01/11/2016

Expiration Date

09/30/2016

City

ASHBURY

State

Zip

52002

County

IOWA

Ever Disciplined

LastModifiedDate

11/26/2016