PHANI JAYA SREE KAZA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020354

License Status

INACTIVE

Business

First Name

PHANI

Middle

JAYA SREE

Last Name

KAZA

Business Name

PHANI JAYA SREE KAZA

Original Issue Date

10/08/2013

Effective Date

10/08/2013

Expiration Date

09/30/2014

City

VINELAND

State

Zip

08361

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

07/03/2014