PHANI JAYA SREE KAZA - Physical Therapist License in New Jersey | # 070020354

PHANI JAYA SREE KAZA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020354

License Status

INACTIVE

Business

N

First Name

PHANI

Middle

JAYA SREE

Last Name

KAZA

Business Name

PHANI JAYA SREE KAZA

Original Issue Date

10/08/2013

Effective Date

10/08/2013

Expiration Date

09/30/2014

State

NJ

Ever Disciplined

N

LastModifiedDate

07/03/2014