RENEE L JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004170

License Status

NOT RENEWED

Business

First Name

RENEE

Middle

Last Name

JOHNSON

Business Name

RENEE L JOHNSON

Original Issue Date

03/31/2003

Effective Date

03/31/2003

Expiration Date

09/30/2005

City

RAPID CITY

State

Zip

57702

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/17/2005