The holder whose full name is Haisley, Dana Marilee,come from Columbia City IN,hold the Phys Ther Assistant license(NO.06003830A) which status is Active.
| Name | Haisley, Dana Marilee |
|---|---|
| License Number | 06003830A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Columbia City |
| State | IN |