KYOUNGTAE LEE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021863

License Status

NOT RENEWED

Business

First Name

KYOUNGTAE

Last Name

LEE

Business Name

KYOUNGTAE LEE

Original Issue Date

10/14/2015

Effective Date

10/14/2015

Expiration Date

09/30/2016

City

SUNRISE

State

Zip

33323

Ever Disciplined

LastModifiedDate

02/27/2017