The holder whose full name is Maquiling, Claire Bloom,come from Kenosha WI,hold the Physical Therapist license(NO.05007250A) which status is Expired.
| Name | Maquiling, Claire Bloom |
|---|---|
| License Number | 05007250A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Kenosha |
| State | WI |