ADAM STIVALA MD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018863

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Last Name

STIVALA

Business Name

ADAM STIVALA MD

Original Issue Date

11/08/2011

Effective Date

08/28/2012

Expiration Date

09/30/2014

City

MIAMI BEACH

State

Zip

33139

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014