MEGAN DIANE SULLENS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008261

License Status

ACTIVE

Business

First Name

MEGAN

Middle

DIANE

Last Name

SULLENS

Business Name

MEGAN DIANE SULLENS

Original Issue Date

08/21/2018

Effective Date

08/28/2025

Expiration Date

09/30/2027

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

08/28/2025