JERRY P SULLIVAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002636

License Status

ACTIVE

Business

First Name

JERRY P

Last Name

SULLIVAN

Business Name

JERRY P SULLIVAN

Original Issue Date

05/01/1978

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

HUNTLEY

State

Zip

60142

Ever Disciplined

LastModifiedDate

09/20/2024