TRACI J JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003031

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

JOHNSON

Business Name

TRACI J JOHNSON

Original Issue Date

08/07/1998

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

BUCKLEY

State

Zip

60918

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/19/2022