JO ELLEN WAHL BORN - Physical Therapist License in New York | # 070004404

JO ELLEN WAHL BORN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004404

License Status

INACTIVE

Business

N

First Name

JO ELLEN WAHL

Last Name

BORN

Business Name

JO ELLEN WAHL BORN

Original Issue Date

01/14/1985

Effective Date

01/14/1985

Expiration Date

09/30/1988

State

NY

Ever Disciplined

N

LastModifiedDate

10/14/2005