The holder whose full name is FLORES, RAFAEL Q,come from PORTAGE IN,hold the Phys Ther Assistant license(NO.06001432A) which status is Expired.
| Name | FLORES, RAFAEL Q |
|---|---|
| License Number | 06001432A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | PORTAGE |
| State | IN |