PHILIP J HLAVAC Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005072

License Status

INACTIVE

Business

First Name

PHILIP J

Last Name

HLAVAC

Business Name

PHILIP J HLAVAC

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

09/30/1994

City

DELMAR

State

Zip

12054

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005