KELLY M BARRA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009810

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

BARRA

Business Name

KELLY M BARRA

Original Issue Date

11/25/1996

Effective Date

11/25/1996

Expiration Date

09/30/1998

City

HAZLET

State

Zip

07730

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/14/2005