The holder whose full name is MELLECKER, AMY SHAH,come from PARAK FOREST IL,hold the Phys Ther Assistant license(NO.06001290A) which status is Expired.
| Name | MELLECKER, AMY SHAH |
|---|---|
| License Number | 06001290A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | PARAK FOREST |
| State | IL |