ELLEN TABLAZON CORONADO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020344

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

TABLAZON

Last Name

CORONADO

Business Name

ELLEN TABLAZON CORONADO

Original Issue Date

10/04/2013

Effective Date

10/04/2013

Expiration Date

09/30/2014

City

BROOKLYN

State

Zip

11230

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014