KUNG ONE BAHANG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012065

License Status

NOT RENEWED

Business

First Name

KUNG

Middle

ONE

Last Name

BAHANG

Business Name

KUNG ONE BAHANG

Original Issue Date

08/28/2000

Effective Date

08/28/2000

Expiration Date

09/30/2002

City

BROOKLYN

State

Zip

11236

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005