The holder whose full name is Smith, Brenda Jean,come from LOOGOOTEE IN,hold the Phys Ther Assistant license(NO.06001805A) which status is Active.
| Name | Smith, Brenda Jean |
|---|---|
| License Number | 06001805A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | LOOGOOTEE |
| State | IN |