ANTONINA KUPCZAK - Physical Therapist License in New Jersey | # 070002308

ANTONINA KUPCZAK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002308

License Status

NOT RENEWED

Business

N

First Name

ANTONINA

Last Name

KUPCZAK

Business Name

ANTONINA KUPCZAK

Original Issue Date

01/11/1977

Effective Date

01/11/1977

Expiration Date

08/01/1982

State

NJ

Ever Disciplined

N

LastModifiedDate

10/14/2005