The holder whose full name is OTTERNESS, DIANA LYNN,come from LUTZ FL,hold the Phys Ther Assistant license(NO.06000156A) which status is Expired.
| Name | OTTERNESS, DIANA LYNN |
|---|---|
| License Number | 06000156A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | LUTZ |
| State | FL |