The holder whose full name is Stakenas, Edward Michael,come from Tinley Park IL,hold the Physical Therapist license(NO.05006747A) which status is Expired.
| Name | Stakenas, Edward Michael |
|---|---|
| License Number | 05006747A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Tinley Park |
| State | IL |