NOMMEL MACTAL RAYMUNDO - Physical Therapist License in New York | # 070013140

NOMMEL MACTAL RAYMUNDO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013140

License Status

INACTIVE

Business

N

First Name

NOMMEL

Middle

MACTAL

Last Name

RAYMUNDO

Business Name

NOMMEL MACTAL RAYMUNDO

Original Issue Date

08/16/2002

Effective Date

08/16/2002

Expiration Date

09/30/2004

State

NY

Ever Disciplined

N

LastModifiedDate

09/01/2006