The holder whose full name is BONG, DONALD A,come from BONITA CA,hold the Physical Therapist license(NO.05000528A) which status is Expired.
| Name | BONG, DONALD A |
|---|---|
| License Number | 05000528A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | BONITA |
| State | CA |