The holder whose full name is MALLORY, JAMES ERIC,come from GRIDLEY IL,hold the Phys Ther Assistant license(NO.06000926A) which status is Expired.
Name | MALLORY, JAMES ERIC |
---|---|
License Number | 06000926A |
License Type | Phys Ther Assistant |
License Status | Expired |
City | GRIDLEY |
State | IL |