LAURA K DIJKSTRA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010226

License Status

INACTIVE

Business

First Name

LAURA K

Last Name

DIJKSTRA

Business Name

LAURA K DIJKSTRA

Original Issue Date

09/02/1997

Effective Date

09/02/1997

Expiration Date

09/30/1998

City

WAYNE

State

Zip

07470

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/14/2005