The holder whose full name is LONTOK, CARLOS GONZALES,come from BROOKLYN NY,hold the Physical Therapist license(NO.05003549A) which status is Expired.
| Name | LONTOK, CARLOS GONZALES |
|---|---|
| License Number | 05003549A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | BROOKLYN |
| State | NY |