MONIQUE RANEE SULLIVAN - Physical Therapist License in Illinois | # 070016029

MONIQUE RANEE SULLIVAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016029

License Status

NOT RENEWED

Business

N

First Name

MONIQUE

Middle

RANEE

Last Name

SULLIVAN

Business Name

MONIQUE RANEE SULLIVAN

BusinessDBA

PRITZ

Original Issue Date

09/21/2007

Effective Date

07/30/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2010