KRISTINA ANN SULLIVAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013632

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

ANN

Last Name

SULLIVAN

Business Name

KRISTINA ANN SULLIVAN

Original Issue Date

09/10/2003

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

SAINT LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/16/2024