EMILY D.C. LAZZARO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017297

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

D.C.

Last Name

LAZZARO

Business Name

EMILY D.C. LAZZARO

Original Issue Date

08/06/2009

Effective Date

08/13/2014

Expiration Date

09/30/2016

City

NEWBURGH

State

Zip

47630

Ever Disciplined

LastModifiedDate

11/26/2016