The holder whose full name is Fleetwood, Jennie Diane,come from FRENCH LICK IN,hold the Phys Ther Assistant license(NO.06001450A) which status is Active.
| Name | Fleetwood, Jennie Diane |
|---|---|
| License Number | 06001450A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | FRENCH LICK |
| State | IN |