The holder whose full name is PRUSA, ANTHONY,come from WICHITA KS,hold the Physical Therapist license(NO.05001214A) which status is Expired.
| Name | PRUSA, ANTHONY |
|---|---|
| License Number | 05001214A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | WICHITA |
| State | KS |