The holder whose full name is Jackson, Virgilee B.,come from Boonville IN,hold the Phys Ther Assistant license(NO.06000097A) which status is Expired.
| Name | Jackson, Virgilee B. |
|---|---|
| License Number | 06000097A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Boonville |
| State | IN |