FAIRLEY ANN LENNOR GARIANDO KUA - Physical Therapist License in New Jersey | # 070017557

FAIRLEY ANN LENNOR GARIANDO KUA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017557

License Status

NOT RENEWED

Business

N

First Name

FAIRLEY ANN LENNOR

Middle

GARIANDO

Last Name

KUA

Business Name

FAIRLEY ANN LENNOR GARIANDO KUA

Original Issue Date

12/22/2009

Effective Date

10/20/2010

Expiration Date

09/30/2012

State

NJ

Ever Disciplined

N

LastModifiedDate

01/16/2013