The holder whose full name is VanDevender, Jeremy Colin,come from Staten Island NY,hold the Physical Therapist license(NO.05006712A) which status is Expired.
| Name | VanDevender, Jeremy Colin |
|---|---|
| License Number | 05006712A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Staten Island |
| State | NY |