ANTONINA KUPCZAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002308

License Status

NOT RENEWED

Business

First Name

ANTONINA

Last Name

KUPCZAK

Business Name

ANTONINA KUPCZAK

Original Issue Date

01/11/1977

Effective Date

01/11/1977

Expiration Date

08/01/1982

City

LAMBERTVILLE

State

Zip

08530

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/14/2005