HAITHAM SALLAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021910

License Status

NOT RENEWED

Business

First Name

HAITHAM

Last Name

SALLAM

Business Name

HAITHAM SALLAM

Original Issue Date

11/19/2015

Effective Date

06/30/2022

Expiration Date

09/30/2024

City

STATEN ISLAND

State

Zip

10306

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/27/2025