GENE M JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002749

License Status

NOT RENEWED

Business

First Name

GENE M

Last Name

JOHNSON

Business Name

GENE M JOHNSON

Original Issue Date

12/18/1978

Effective Date

08/22/2018

Expiration Date

09/30/2020

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/14/2021