The holder whose full name is Bacanaya, Bradley Jude,come from Lincoln Park NJ,hold the Physical Therapist license(NO.05008742A) which status is Expired.
| Name | Bacanaya, Bradley Jude |
|---|---|
| License Number | 05008742A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Lincoln Park |
| State | NJ |