SUE ANN WILLIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001205

License Status

NOT RENEWED

Business

First Name

SUE ANN

Last Name

WILLIS

Business Name

SUE ANN WILLIS

Original Issue Date

12/19/1991

Effective Date

09/28/2015

Expiration Date

09/30/2017

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/01/2017