TERESA A SUMPTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004040

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

SUMPTER

Business Name

TERESA A SUMPTER

Original Issue Date

04/18/2002

Effective Date

09/26/2019

Expiration Date

01/31/2022

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/19/2022