NATHANIEL MAGALLON TABO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026379

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

MAGALLON

Last Name

TABO

Business Name

NATHANIEL MAGALLON TABO

Original Issue Date

11/29/2021

Effective Date

11/29/2021

Expiration Date

09/30/2022

City

BROOKLYN

State

Zip

11218

Ever Disciplined

LastModifiedDate

11/28/2022