ANTHONY J STARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005649

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

STARK

Business Name

ANTHONY J STARK

Original Issue Date

04/08/2011

Effective Date

09/25/2015

Expiration Date

09/30/2017

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

11/01/2017