The holder whose full name is Azab, Malak Ishak Kallen,come from East Setauket NY,hold the Physical Therapist license(NO.05007452A) which status is Expired.
| Name | Azab, Malak Ishak Kallen |
|---|---|
| License Number | 05007452A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | East Setauket |
| State | NY |