SU JIN LEE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019859

License Status

NOT RENEWED

Business

First Name

SU JIN

Last Name

LEE

Business Name

SU JIN LEE

Original Issue Date

05/29/2013

Effective Date

05/29/2013

Expiration Date

09/30/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/17/2014