STEPHANIE M SULLIVAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006487

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

SULLIVAN

Business Name

STEPHANIE M SULLIVAN

Original Issue Date

08/06/2013

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

MORRISONVILLE

State

Zip

62546

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

09/30/2025