The holder whose full name is Grannan, Amy Michelle,come from Osceola IN,hold the Phys Ther Assistant license(NO.06002792A) which status is Active.
| Name | Grannan, Amy Michelle |
|---|---|
| License Number | 06002792A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Osceola |
| State | IN |