MARY MICHELE COPPOLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002237

License Status

NOT RENEWED

Business

First Name

MARY MICHELE

Last Name

COPPOLA

Business Name

MARY MICHELE COPPOLA

Original Issue Date

11/22/1976

Effective Date

11/22/1976

Expiration Date

08/01/1982

City

NEW HYDE PARK

State

Zip

11040

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005