DALE SUICO IWAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015181

License Status

NOT RENEWED

Business

First Name

DALE

Middle

SUICO

Last Name

IWAY

Business Name

DALE SUICO IWAY

Original Issue Date

07/14/2006

Effective Date

08/11/2010

Expiration Date

09/30/2012

City

GREENWICH

State

Zip

06830

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

01/16/2013