MITCHEL C MROZ JR Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011617

License Status

INACTIVE

Business

First Name

MITCHEL

Middle

Last Name

MROZ

Suffix

Business Name

MITCHEL C MROZ JR

Original Issue Date

11/24/1999

Effective Date

11/24/1999

Expiration Date

09/30/2000

City

AMHERST

State

Zip

14226

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005