The holder whose full name is AUGUSTO, MARIA GINA Y,come from Antioch IL,hold the Physical Therapist license(NO.05006822A) which status is Active.
| Name | AUGUSTO, MARIA GINA Y |
|---|---|
| License Number | 05006822A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Antioch |
| State | IL |