The holder whose full name is CHUPP, DIANE LIND,come from ELKHART IN,hold the Phys Ther Assistant license(NO.06001097A) which status is Active.
| Name | CHUPP, DIANE LIND |
|---|---|
| License Number | 06001097A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | ELKHART |
| State | IN |