LEONEL OLANDA TADATADA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010984

License Status

INACTIVE

Business

First Name

LEONEL OLANDA

Last Name

TADATADA

Business Name

LEONEL OLANDA TADATADA

Original Issue Date

11/05/1998

Effective Date

11/05/1998

Expiration Date

09/30/2004

City

FLUSHING

State

Zip

11355

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/01/2006