The holder whose full name is Dolata, Robert Allen,come from La Porte IN,hold the Physical Therapist license(NO.05007097A) which status is Expired.
| Name | Dolata, Robert Allen |
|---|---|
| License Number | 05007097A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | La Porte |
| State | IN |