SUE KATHERINE SONG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010931

License Status

NOT RENEWED

Business

First Name

SUE

Middle

KATHERINE

Last Name

SONG

Business Name

SUE KATHERINE SONG

Original Issue Date

10/27/1998

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FAIRFAX

State

Zip

22031

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/08/2006