MICHAEL BUENSALIDA CAMATO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010968

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

BUENSALIDA

Last Name

CAMATO

Business Name

MICHAEL BUENSALIDA CAMATO

Original Issue Date

11/05/1998

Effective Date

11/05/1998

Expiration Date

09/30/2004

City

WEST MILFORD

State

Zip

07480

Ever Disciplined

LastModifiedDate

10/17/2005