ERIC R JOHNSON - Physical Therapist License in Illinois | # 160003455

ERIC R JOHNSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003455

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

R

Last Name

JOHNSON

Business Name

ERIC R JOHNSON

Original Issue Date

10/19/1999

Effective Date

10/19/1999

Expiration Date

09/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005