ALVIN JOHN GORDUIZ TALISAYSAY - Physical Therapist License in New York | # 070010901

ALVIN JOHN GORDUIZ TALISAYSAY

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010901

License Status

INACTIVE

Business

N

First Name

ALVIN JOHN

Middle

GORDUIZ

Last Name

TALISAYSAY

Business Name

ALVIN JOHN GORDUIZ TALISAYSAY

Original Issue Date

10/22/1998

Effective Date

10/22/1998

Expiration Date

09/30/2000

State

NY

Ever Disciplined

N

LastModifiedDate

10/17/2005