The holder whose full name is BLAKE, ELVERA MARLENE,come from BATTLE CREEK MI,hold the Phys Ther Assistant license(NO.06001454A) which status is Expired.
| Name | BLAKE, ELVERA MARLENE |
|---|---|
| License Number | 06001454A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | BATTLE CREEK |
| State | MI |