KATHLEEN WALCZAK WHITE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001103

License Status

INACTIVE

Business

First Name

KATHLEEN WALCZAK

Last Name

WHITE

Business Name

KATHLEEN WALCZAK WHITE

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

OLEAN

State

Zip

14760

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005