The holder whose full name is Larsen, Diane Terpstra,come from Fishers IN,hold the Phys Ther Assistant license(NO.06000113A) which status is Expired.
| Name | Larsen, Diane Terpstra |
|---|---|
| License Number | 06000113A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Fishers |
| State | IN |