The holder whose full name is Gumapon, Allan Rodriguez,come from Blackwood NJ,hold the Physical Therapist license(NO.05007832A) which status is Expired.
| Name | Gumapon, Allan Rodriguez |
|---|---|
| License Number | 05007832A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Blackwood |
| State | NJ |