The holder whose full name is HERBERT, CONSTANCE O,come from BELLEVILLE IL,hold the Phys Ther Assistant license(NO.06000606A) which status is Expired.
| Name | HERBERT, CONSTANCE O |
|---|---|
| License Number | 06000606A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | BELLEVILLE |
| State | IL |