ERWIN A ETKIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001932

License Status

NOT RENEWED

Business

First Name

ERWIN A

Last Name

ETKIN

Business Name

ERWIN A ETKIN

Original Issue Date

12/22/1974

Effective Date

12/22/1974

City

BUFFALO

State

Zip

14215

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005