JUDITH COSTANZA MANN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002508

License Status

INACTIVE

Business

First Name

JUDITH

Middle

COSTANZA

Last Name

MANN

Business Name

JUDITH COSTANZA MANN

Original Issue Date

12/30/1977

Effective Date

08/22/2007

Expiration Date

09/30/2008

City

TIMONIUM

State

Zip

21093

County

MARYLAND

Ever Disciplined

LastModifiedDate

07/10/2008