KELLY M CHASE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009862

License Status

INACTIVE

Business

First Name

KELLY M

Last Name

CHASE

Business Name

KELLY M CHASE

Original Issue Date

12/12/1996

Effective Date

12/12/1996

Expiration Date

09/30/1998

City

PLEASANTVILLE

State

Zip

10570

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/14/2005