SUSAN N GULLICKSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005784

License Status

INACTIVE

Business

First Name

SUSAN N

Last Name

GULLICKSON

Business Name

SUSAN N GULLICKSON

Original Issue Date

08/02/1989

Effective Date

08/02/1989

Expiration Date

09/30/1996

City

BLOOMINGTON

State

Zip

55420

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/14/2005