ERIC R JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003455

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

JOHNSON

Business Name

ERIC R JOHNSON

Original Issue Date

10/19/1999

Effective Date

10/19/1999

Expiration Date

09/30/2003

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005