ROBERT S JOHANNSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006904

License Status

NOT RENEWED

Business

First Name

ROBERT S

Last Name

JOHANNSEN

Business Name

ROBERT S JOHANNSEN

Original Issue Date

04/22/1992

Effective Date

07/07/2016

Expiration Date

09/30/2018

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/05/2018