The holder whose full name is Vizcayno, Nathaniel Bascar,come from Round Lake IL,hold the Physical Therapist license(NO.05006475A) which status is Expired.
| Name | Vizcayno, Nathaniel Bascar |
|---|---|
| License Number | 05006475A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Round Lake |
| State | IL |