The holder whose full name is Edmon, Jacqueline,come from Hammond IN,hold the Phys Ther Assistant license(NO.06003018A) which status is Active.
| Name | Edmon, Jacqueline |
|---|---|
| License Number | 06003018A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Hammond |
| State | IN |