KATHERINE L JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001794

License Status

NOT RENEWED

Business

First Name

KATHERINE L

Last Name

JOHNSON

Business Name

KATHERINE L JOHNSON

Original Issue Date

09/27/1993

Effective Date

01/09/2022

Expiration Date

09/30/2023

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/02/2024