MARISSA ANN ULSAMER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018358

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

ANN

Last Name

ULSAMER

Business Name

MARISSA ANN ULSAMER

Original Issue Date

03/18/2011

Effective Date

03/18/2011

Expiration Date

09/30/2012

City

STATEN ISLAND

State

Zip

10306

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/16/2013