The holder whose full name is CEBALLOS JR, BIENVENIDO P,come from West Babylon NY,hold the Physical Therapist license(NO.05006150A) which status is Expired.
| Name | CEBALLOS JR, BIENVENIDO P |
|---|---|
| License Number | 05006150A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | West Babylon |
| State | NY |