The holder whose full name is Blake, Janelle R,come from Washington IN,hold the Phys Ther Assistant license(NO.06003299A) which status is Expired.
| Name | Blake, Janelle R |
|---|---|
| License Number | 06003299A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Washington |
| State | IN |