The holder whose full name is Altavas, Andrei Joseph Maqrquezlim,come from Newberg OR,hold the Physical Therapist license(NO.05007133A) which status is Expired.
| Name | Altavas, Andrei Joseph Maqrquezlim |
|---|---|
| License Number | 05007133A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Newberg |
| State | OR |