MARIA A BAUTISTA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015857

License Status

INACTIVE

Business

First Name

MARIA

Middle

Last Name

BAUTISTA

Business Name

MARIA A BAUTISTA

Original Issue Date

08/01/2007

Effective Date

10/24/2014

Expiration Date

09/30/2016

City

ELMHURST

State

Zip

11373

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/06/2016