JEREMY JAMES SULLIVAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015811

License Status

ACTIVE

Business

First Name

JEREMY

Middle

JAMES

Last Name

SULLIVAN

Business Name

JEREMY JAMES SULLIVAN

Original Issue Date

06/21/2007

Effective Date

07/12/2024

Expiration Date

09/30/2026

City

WAUKESHA

State

Zip

53189

Ever Disciplined

LastModifiedDate

07/12/2024