The holder whose full name is Mendoza, Adelino B,come from Peru IL,hold the Physical Therapist license(NO.05005704A) which status is Expired.
| Name | Mendoza, Adelino B |
|---|---|
| License Number | 05005704A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Peru |
| State | IL |