JO ELLEN WAHL BORN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004404

License Status

INACTIVE

Business

First Name

JO ELLEN WAHL

Last Name

BORN

Business Name

JO ELLEN WAHL BORN

Original Issue Date

01/14/1985

Effective Date

01/14/1985

Expiration Date

09/30/1988

City

CANANDAIGUA

State

Zip

14424

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005