MALLORY LEEANN JOHNSON DPT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027202

License Status

NOT RENEWED

Business

Title

DPT

First Name

MALLORY

Middle

LEEANN

Last Name

JOHNSON

Business Name

MALLORY LEEANN JOHNSON DPT

Original Issue Date

01/03/2023

Effective Date

01/03/2023

Expiration Date

09/30/2024

City

SULLIVAN

State

Zip

47882

Ever Disciplined

LastModifiedDate

02/27/2025