The holder whose full name is PADILLA, PORTIA S,come from Gurnee IL,hold the Physical Therapist license(NO.05007631A) which status is Expired.
| Name | PADILLA, PORTIA S |
|---|---|
| License Number | 05007631A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Gurnee |
| State | IL |