PAMELA SHROCK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001418

License Status

INACTIVE

Business

First Name

PAMELA

Last Name

SHROCK

Business Name

PAMELA SHROCK

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

ROSLYN HARBOR

State

Zip

11576

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005