FAIRLEY ANN LENNOR GARIANDO KUA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017557

License Status

NOT RENEWED

Business

First Name

FAIRLEY ANN LENNOR

Middle

GARIANDO

Last Name

KUA

Business Name

FAIRLEY ANN LENNOR GARIANDO KUA

Original Issue Date

12/22/2009

Effective Date

10/20/2010

Expiration Date

09/30/2012

City

JERSEY CITY

State

Zip

07304

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

01/16/2013