KRISTY JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004736

License Status

NOT RENEWED

Business

First Name

KRISTY

Last Name

JOHNSON

Business Name

KRISTY JOHNSON

Original Issue Date

03/06/1986

Effective Date

08/08/2016

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/05/2018