DANIEL W SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007319

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

SULLIVAN

Business Name

DANIEL W SULLIVAN

Original Issue Date

10/27/2015

Effective Date

09/13/2017

Expiration Date

09/30/2019

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/13/2020