BARBARA JEAN SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002143

License Status

NOT RENEWED

Business

First Name

BARBARA JEAN

Last Name

SULLIVAN

Business Name

BARBARA JEAN SULLIVAN

Original Issue Date

01/16/1976

Effective Date

09/15/2014

Expiration Date

09/30/2016

City

DAHINDA

State

Zip

61428

County

KNOX

Ever Disciplined

LastModifiedDate

11/26/2016