JOHN L OSULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002902

License Status

NOT RENEWED

Business

First Name

JOHN L

Last Name

OSULLIVAN

Business Name

JOHN L OSULLIVAN

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

08/01/1982

City

ST LOUIS

State

Zip

63118

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005