The holder whose full name is DORNSEIF, DIANA LYNNE,come from FORT WAYNE IN,hold the Phys Ther Assistant license(NO.06001903A) which status is Expired.
Name | DORNSEIF, DIANA LYNNE |
---|---|
License Number | 06001903A |
License Type | Phys Ther Assistant |
License Status | Expired |
City | FORT WAYNE |
State | IN |