RUDOLPH M FAJARDO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008772

License Status

INACTIVE

Business

First Name

RUDOLPH M

Last Name

FAJARDO

Business Name

RUDOLPH M FAJARDO

Original Issue Date

05/06/1995

Effective Date

05/06/1995

Expiration Date

09/30/1996

City

MORGANVILLE

State

Zip

07751

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/14/2005