JIMMIE SEN TYAN KUNG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001451

License Status

NOT RENEWED

Business

First Name

JIMMIE SEN TYAN

Last Name

KUNG

Business Name

JIMMIE SEN TYAN KUNG

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

EDISON

State

Zip

08820

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/14/2005