MIRIAM BALUYUT SANTIAGO - Physical Therapist License in New Jersey | # 070010602

MIRIAM BALUYUT SANTIAGO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010602

License Status

INACTIVE

Business

N

First Name

MIRIAM BALUYUT

Last Name

SANTIAGO

Business Name

MIRIAM BALUYUT SANTIAGO

Original Issue Date

05/06/1998

Effective Date

05/06/1998

Expiration Date

09/30/1998

State

NJ

Ever Disciplined

N

LastModifiedDate

10/14/2005