The holder whose full name is FORSYTHE, JACKIE JO,come from FREMONT OH,hold the Phys Ther Assistant license(NO.06002186A) which status is Expired.
| Name | FORSYTHE, JACKIE JO |
|---|---|
| License Number | 06002186A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | FREMONT |
| State | OH |