PHILIP W CHAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006257

License Status

NOT RENEWED

Business

First Name

PHILIP W

Last Name

CHAN

Business Name

PHILIP W CHAN

Original Issue Date

01/04/1991

Effective Date

01/04/1991

Expiration Date

09/30/1996

City

WESTBURY

State

Zip

11590

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005