COLLEEN J KUSMIERSKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014624

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

KUSMIERSKI

Business Name

COLLEEN J KUSMIERSKI

Original Issue Date

09/13/2005

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

SOUTHINGTON

State

Zip

06489

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/06/2008