SANDRA M KUBACKI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018001

License Status

INACTIVE

Business

First Name

SANDRA

Middle

Last Name

KUBACKI

Business Name

SANDRA M KUBACKI

Original Issue Date

08/04/2010

Effective Date

08/04/2010

Expiration Date

09/30/2012

City

BEAVERCREEK

State

Zip

45431

County

OHIO

Ever Disciplined

LastModifiedDate

07/05/2012