The holder whose full name is JABAGAT, DALE DEXTER,come from Woodhaven NY,hold the Physical Therapist license(NO.05006152A) which status is Expired.
| Name | JABAGAT, DALE DEXTER |
|---|---|
| License Number | 05006152A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Woodhaven |
| State | NY |