The holder whose full name is Clark, Courtney Diane,come from Muncie IN,hold the Phys Ther Assistant license(NO.06004975A) which status is Active.
| Name | Clark, Courtney Diane |
|---|---|
| License Number | 06004975A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Muncie |
| State | IN |