The holder whose full name is Hisle, Jim Dewayne,come from Mount Washington KY,hold the Phys Ther Assistant license(NO.06003198A) which status is Expired.
| Name | Hisle, Jim Dewayne |
|---|---|
| License Number | 06003198A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Mount Washington |
| State | KY |