STACEY JILL FUTTERMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010428

License Status

INACTIVE

Business

First Name

STACEY JILL

Last Name

FUTTERMAN

Business Name

STACEY JILL FUTTERMAN

Original Issue Date

01/13/1998

Effective Date

01/13/1998

Expiration Date

09/30/2004

City

HOBOKEN

State

Zip

07030

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/01/2006