ALVIN JOHN GORDUIZ TALISAYSAY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010901

License Status

INACTIVE

Business

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

City

WOODHAVEN

State

Zip

11421

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005