The holder whose full name is TELLEZ, EVERARDO,come from CHICAGO IL,hold the Phys Ther Assistant license(NO.06000415A) which status is Expired.
| Name | TELLEZ, EVERARDO |
|---|---|
| License Number | 06000415A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | CHICAGO |
| State | IL |