The holder whose full name is SHUPE, DAVID WAYNE,come from RAPID CITY SD,hold the Physical Therapist license(NO.05002307A) which status is Expired.
| Name | SHUPE, DAVID WAYNE |
|---|---|
| License Number | 05002307A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | RAPID CITY |
| State | SD |