ELOIZA FAE CAMACHO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021959

License Status

NOT RENEWED

Business

First Name

ELOIZA

Middle

FAE

Last Name

CAMACHO

Business Name

ELOIZA FAE CAMACHO

Original Issue Date

12/22/2015

Effective Date

12/22/2015

Expiration Date

09/30/2016

City

WOODHAVEN

State

Zip

11421

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/26/2016