The holder whose full name is PARK, YONG TACK,come from Leonia NJ,hold the Physical Therapist license(NO.05005745A) which status is Expired.
| Name | PARK, YONG TACK |
|---|---|
| License Number | 05005745A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Leonia |
| State | NJ |