The holder whose full name is WILDER, DEBRA MAE,come from OTTAWA IL,hold the Phys Ther Assistant license(NO.06000506A) which status is Expired.
| Name | WILDER, DEBRA MAE |
|---|---|
| License Number | 06000506A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | OTTAWA |
| State | IL |