DORIS W HALSTEAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012155

License Status

NOT RENEWED

Business

First Name

DORIS

Middle

Last Name

HALSTEAD

Business Name

DORIS W HALSTEAD

Original Issue Date

10/11/2000

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WILLIAMVILLE

State

Zip

14221

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/14/2007