The holder whose full name is SIPALAY, RODRIGO JACA,come from Rego Park NY,hold the Physical Therapist license(NO.05006290A) which status is Expired.
| Name | SIPALAY, RODRIGO JACA |
|---|---|
| License Number | 05006290A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Rego Park |
| State | NY |