The holder whose full name is SPARROW, PETER BLACKALL,come from SUSSEX WI,hold the Phys Ther Assistant license(NO.06000721A) which status is Expired.
| Name | SPARROW, PETER BLACKALL |
|---|---|
| License Number | 06000721A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | SUSSEX |
| State | WI |