USAMA ABDEL A SHAPPAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008135

License Status

NOT RENEWED

Business

First Name

USAMA ABDEL A

Last Name

SHAPPAN

Business Name

USAMA ABDEL A SHAPPAN

Original Issue Date

04/22/1994

Effective Date

04/22/1994

Expiration Date

09/30/1998

City

BROOKLYN

State

Zip

11209

Ever Disciplined

LastModifiedDate

10/14/2005