MICHAEL PATRICK SULLENS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007435

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PATRICK

Last Name

SULLENS

Business Name

MICHAEL PATRICK SULLENS

Original Issue Date

03/07/2016

Effective Date

09/07/2017

Expiration Date

09/30/2019

City

CLINTON

State

Zip

52732

County

IOWA

Ever Disciplined

LastModifiedDate

01/13/2020