MONIQUE RANEE SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016029

License Status

NOT RENEWED

Business

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

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/08/2010