The holder whose full name is Velasquez, Marvey Dizon,come from Fairfield IA,hold the Physical Therapist license(NO.05005837A) which status is Expired.
| Name | Velasquez, Marvey Dizon |
|---|---|
| License Number | 05005837A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Fairfield |
| State | IA |