JONATHAN JOSEPH VITALE DO Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178008702

License Status

INACTIVE

Business

Title

First Name

JONATHAN

Middle

JOSEPH

Last Name

VITALE

Business Name

JONATHAN JOSEPH VITALE DO

Original Issue Date

12/12/2012

Effective Date

03/07/2019

Expiration Date

03/31/2021

City

NEW YORK

State

Zip

10036

Ever Disciplined

LastModifiedDate

01/10/2021