The holder whose full name is BOUTELLE, DAVID CHARLES,come from Carlsbad CA,hold the Physical Therapist license(NO.05001693A) which status is Expired.
| Name | BOUTELLE, DAVID CHARLES |
|---|---|
| License Number | 05001693A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Carlsbad |
| State | CA |