RICHARD ADAM SUKIENNIK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025284

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

ADAM

Last Name

SUKIENNIK

Business Name

RICHARD ADAM SUKIENNIK

Original Issue Date

07/28/2020

Effective Date

07/28/2020

Expiration Date

09/30/2022

City

BANGOR

State

Zip

04401

Ever Disciplined

LastModifiedDate

11/28/2022