The holder whose full name is GANAPATHY, BALAJI,come from Macomb MI,hold the Physical Therapist license(NO.05004784A) which status is Expired.
| Name | GANAPATHY, BALAJI |
|---|---|
| License Number | 05004784A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Macomb |
| State | MI |