The holder whose full name is MACKINTOSH, DOUGLAS CHARLES,come from GRAND RAPIDS MI,hold the Physical Therapist license(NO.05004963A) which status is Expired.
| Name | MACKINTOSH, DOUGLAS CHARLES |
|---|---|
| License Number | 05004963A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | GRAND RAPIDS |
| State | MI |