DANIEL W SULLIVAN - Physical Therapist License in Illinois | # 160007319

DANIEL W SULLIVAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007319

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

W

Last Name

SULLIVAN

Business Name

DANIEL W SULLIVAN

Original Issue Date

10/27/2015

Effective Date

09/13/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020