The holder whose full name is Lopez, Jeremiah Joy,come from Farmingdale NY,hold the Physical Therapist license(NO.05008015A) which status is Expired.
| Name | Lopez, Jeremiah Joy |
|---|---|
| License Number | 05008015A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Farmingdale |
| State | NY |