JEDRYK ALAN KRISTOPER CODAMON QUITZON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023835

License Status

NOT RENEWED

Business

First Name

JEDRYK

Middle

ALAN KRISTOPER CODAMON

Last Name

QUITZON

Business Name

JEDRYK ALAN KRISTOPER CODAMON QUITZON

Original Issue Date

08/22/2018

Effective Date

08/22/2018

Expiration Date

09/30/2020

City

SUNRISE

State

Zip

33323

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021