KRISTIN MICHELLE CULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008807

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

MICHELLE

Last Name

CULLIVAN

Business Name

KRISTIN MICHELLE CULLIVAN

Original Issue Date

10/30/2019

Effective Date

09/09/2021

Expiration Date

09/30/2023

City

MONROE CITY

State

Zip

47557

Ever Disciplined

LastModifiedDate

02/02/2024