The holder whose full name is Taclay, Ian Eric M,come from Bloomfield NJ,hold the Physical Therapist license(NO.05007096A) which status is Expired.
| Name | Taclay, Ian Eric M |
|---|---|
| License Number | 05007096A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Bloomfield |
| State | NJ |