The holder whose full name is Alfonso, Joy Lynn Daclag,come from Bloomington IN,hold the Physical Therapist license(NO.05004065A) which status is Active.
| Name | Alfonso, Joy Lynn Daclag |
|---|---|
| License Number | 05004065A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Bloomington |
| State | IN |