The holder whose full name is Miotke, Elizabeth Anne,come from Lafayette IN,hold the Phys Ther Assistant license(NO.06002912A) which status is Active.
| Name | Miotke, Elizabeth Anne |
|---|---|
| License Number | 06002912A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Lafayette |
| State | IN |