GERALD ROBERT JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009372

License Status

NOT RENEWED

Business

First Name

GERALD ROBERT

Last Name

JOHNSON

Business Name

GERALD ROBERT JOHNSON

Original Issue Date

02/17/1996

Effective Date

02/17/1996

Expiration Date

09/30/1998

City

FORT ATKINSON

State

Zip

53538

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005