ZENELLE KEESHIA M SALA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023529

License Status

NOT RENEWED

Business

First Name

ZENELLE

Middle

KEESHIA M

Last Name

SALA

Business Name

ZENELLE KEESHIA M SALA

Original Issue Date

02/21/2018

Effective Date

09/17/2020

Expiration Date

09/30/2022

City

MIDDLE VILLAGE

State

Zip

11379

Ever Disciplined

LastModifiedDate

11/28/2022