The holder whose full name is Javelosa, Desiree Consuelo,come from Flushing NY,hold the Physical Therapist license(NO.05008216A) which status is Expired.
| Name | Javelosa, Desiree Consuelo |
|---|---|
| License Number | 05008216A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Flushing |
| State | NY |