JAMIE J PARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014162

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

PARK

Business Name

JAMIE J PARK

Original Issue Date

09/23/2004

Effective Date

07/25/2008

Expiration Date

09/30/2010

City

BUFFALO

State

Zip

14223

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/08/2010