The holder whose full name is Massengill, Timothy Kent,come from Neoga IL,hold the Phys Ther Assistant license(NO.06001654A) which status is Expired.
| Name | Massengill, Timothy Kent |
|---|---|
| License Number | 06001654A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Neoga |
| State | IL |