EVELYN SIA CO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010973

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

SIA

Last Name

Business Name

EVELYN SIA CO

Original Issue Date

11/05/1998

Effective Date

11/05/1998

Expiration Date

09/30/2004

City

BAYPORT

State

Zip

11705

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005