The holder whose full name is JACQUES, BRIAN DANIEL,come from SOUTH BERWICK ME,hold the Phys Ther Assistant license(NO.06001406A) which status is Expired.
| Name | JACQUES, BRIAN DANIEL |
|---|---|
| License Number | 06001406A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | SOUTH BERWICK |
| State | ME |