The holder whose full name is BOLES, DWIGHT ALLAN,come from MADISON IN,hold the Physical Therapist license(NO.05003297A) which status is Expired.
| Name | BOLES, DWIGHT ALLAN |
|---|---|
| License Number | 05003297A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | MADISON |
| State | IN |