PATRICIA A SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009232

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

SULLIVAN

Business Name

PATRICIA A SULLIVAN

Original Issue Date

01/03/1996

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

11/06/2008