The holder whose full name is OTTO, MICHAEL SCOTT,come from ALHAMBRA IL,hold the Phys Ther Assistant license(NO.06000612A) which status is Expired.
| Name | OTTO, MICHAEL SCOTT |
|---|---|
| License Number | 06000612A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | ALHAMBRA |
| State | IL |