SAM M COPPOLETTI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005983

License Status

INACTIVE

Business

First Name

SAM M

Last Name

COPPOLETTI

Business Name

SAM M COPPOLETTI

Original Issue Date

03/17/1990

Effective Date

03/17/1990

Expiration Date

09/30/1996

City

BATAVIA

State

Zip

45103

Ever Disciplined

LastModifiedDate

10/14/2005