The holder whose full name is Humphrey, Matthew Thomas,come from Carmel IN,hold the Physical Therapist license(NO.05010362A) which status is Expired.
| Name | Humphrey, Matthew Thomas |
|---|---|
| License Number | 05010362A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Carmel |
| State | IN |