JUDITH COSTANZA MANN - Physical Therapist License in Maryland | # 070002508

JUDITH COSTANZA MANN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002508

License Status

INACTIVE

Business

N

First Name

JUDITH

Middle

COSTANZA

Last Name

MANN

Business Name

JUDITH COSTANZA MANN

Original Issue Date

12/30/1977

Effective Date

08/22/2007

Expiration Date

09/30/2008

State

MD

Ever Disciplined

N

LastModifiedDate

07/10/2008