The holder whose full name is JAGOUB, BASMA KAMAL,come from ADDISON IL,hold the Physical Therapist license(NO.05005214A) which status is Expired.
| Name | JAGOUB, BASMA KAMAL |
|---|---|
| License Number | 05005214A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | ADDISON |
| State | IL |