MARY MICHELE COPPOLA - Physical Therapist License in New York | # 070002237

MARY MICHELE COPPOLA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002237

License Status

NOT RENEWED

Business

N

First Name

MARY MICHELE

Last Name

COPPOLA

Business Name

MARY MICHELE COPPOLA

Original Issue Date

11/22/1976

Effective Date

11/22/1976

Expiration Date

08/01/1982

State

NY

Ever Disciplined

N

LastModifiedDate

10/14/2005