The holder whose full name is BALBERONA, DENNIS LOPEZ,come from Fortuna CA,hold the Physical Therapist license(NO.05006939A) which status is Expired.
| Name | BALBERONA, DENNIS LOPEZ |
|---|---|
| License Number | 05006939A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Fortuna |
| State | CA |