JENNIFER L COLVIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002134

License Status

INACTIVE

Business

First Name

JENNIFER L

Last Name

COLVIN

Business Name

JENNIFER L COLVIN

Original Issue Date

03/23/1995

Effective Date

03/23/1995

Expiration Date

09/30/2005

City

FLUSHING

State

Zip

48433

Ever Disciplined

LastModifiedDate

10/17/2005