JUDITH P JOHANSEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004277

License Status

ACTIVE

Business

First Name

JUDITH P

Last Name

JOHANSEN

Business Name

JUDITH P JOHANSEN

Original Issue Date

09/07/1984

Effective Date

08/24/2024

Expiration Date

09/30/2026

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/24/2024