LAUREN K SULLIVAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024396

License Status

INACTIVE

Business

First Name

LAUREN

Middle

Last Name

SULLIVAN

Business Name

LAUREN K SULLIVAN

Original Issue Date

06/21/2019

Effective Date

09/15/2020

Expiration Date

09/30/2022

City

WAYNE

State

Zip

07470

Ever Disciplined

LastModifiedDate

09/07/2022