DEANNA VICTORIA LIST - Physical Therapist License in New York | # 070021865

DEANNA VICTORIA LIST

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021865

License Status

NOT RENEWED

Business

N

First Name

DEANNA

Middle

VICTORIA

Last Name

LIST

Business Name

DEANNA VICTORIA LIST

Original Issue Date

10/15/2015

Effective Date

08/20/2018

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/14/2021