JUDY A JOHANNSEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005629

License Status

INACTIVE

Business

First Name

JUDY

Middle

Last Name

JOHANNSEN

Business Name

JUDY A JOHANNSEN

Original Issue Date

01/20/2011

Effective Date

09/18/2019

Expiration Date

12/31/2021

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

10/13/2021