KELLEY O'CONNOR PARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017799

License Status

INACTIVE

Business

First Name

KELLEY

Middle

O'CONNOR

Last Name

PARK

Business Name

KELLEY O'CONNOR PARK

Original Issue Date

06/14/2010

Effective Date

09/16/2014

Expiration Date

09/30/2016

City

SAN FRANCISCO

State

Zip

94102

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/06/2016