THERESA M URBAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003045

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

URBAN

Business Name

THERESA M URBAN

Original Issue Date

08/17/1998

Effective Date

08/17/1998

Expiration Date

09/30/1999

City

SICKLERVILLE

State

Zip

08081

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/14/2005