JOSE WINSTON CORDOVA ORDANIEL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010903

License Status

INACTIVE

Business

First Name

JOSE WINSTON

Middle

CORDOVA

Last Name

ORDANIEL

Business Name

JOSE WINSTON CORDOVA ORDANIEL

Original Issue Date

10/22/1998

Effective Date

10/22/1998

Expiration Date

09/30/2000

City

SOUTH AMBOY

State

Zip

08879

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005