The holder whose full name is Kiesel, John David,come from Corvallis OR,hold the Physical Therapist license(NO.05010388A) which status is Expired.
| Name | Kiesel, John David |
|---|---|
| License Number | 05010388A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Corvallis |
| State | OR |