The holder whose full name is ANTOS, TIFFANY ELIZABETH,come from PORT JEFFERSON NY,hold the Physical Therapist license(NO.05005156A) which status is Expired.
| Name | ANTOS, TIFFANY ELIZABETH |
|---|---|
| License Number | 05005156A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | PORT JEFFERSON |
| State | NY |