JODIE K KIRK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007711

License Status

NOT RENEWED

Business

First Name

JODIE K

Last Name

KIRK

Business Name

JODIE K KIRK

Original Issue Date

08/17/1993

Effective Date

08/17/1993

Expiration Date

09/30/1994

City

NEWBURGH

State

Zip

12550

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005