The holder whose full name is KENNY, TIMOTHY PAUL,come from ARTESIA NM,hold the Physical Therapist license(NO.05004225A) which status is Expired.
| Name | KENNY, TIMOTHY PAUL |
|---|---|
| License Number | 05004225A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | ARTESIA |
| State | NM |