The holder whose full name is LASCO, JUN MAXIMO FUENTESPINA,come from Bloomfield NJ,hold the Physical Therapist license(NO.05006393A) which status is Expired.
| Name | LASCO, JUN MAXIMO FUENTESPINA |
|---|---|
| License Number | 05006393A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Bloomfield |
| State | NJ |