ON-ANONG ATICOMBUNTHIDKUL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006072

License Status

INACTIVE

Business

First Name

ON-ANONG

Last Name

ATICOMBUNTHIDKUL

Business Name

ON-ANONG ATICOMBUNTHIDKUL

Original Issue Date

05/02/1990

Effective Date

07/21/2016

Expiration Date

09/30/2018

City

WOODSIDE

State

Zip

11377

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/07/2018