MIRIAM BALUYUT SANTIAGO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010602

License Status

INACTIVE

Business

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

City

NORTH BRUNSWICK

State

Zip

8902

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/14/2005