The holder whose full name is SULLIVAN, EDYTA M,come from West Seneca NY,hold the Physical Therapist license(NO.05005796A) which status is Expired.
| Name | SULLIVAN, EDYTA M |
|---|---|
| License Number | 05005796A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | West Seneca |
| State | NY |