MARY F SULLIVAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001594

License Status

NOT RENEWED

Business

First Name

MARY F

Last Name

SULLIVAN

Business Name

MARY F SULLIVAN

Original Issue Date

10/29/1992

Effective Date

10/29/1992

Expiration Date

09/30/1999

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005