NOMMEL MACTAL RAYMUNDO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013140

License Status

INACTIVE

Business

First Name

NOMMEL

Middle

MACTAL

Last Name

RAYMUNDO

Business Name

NOMMEL MACTAL RAYMUNDO

Original Issue Date

08/16/2002

Effective Date

08/16/2002

Expiration Date

09/30/2004

City

NEW YORK

State

Zip

10003

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/01/2006