The holder whose full name is SHACKLETON, JAMES EARL,come from SOUTH BEND IN,hold the Phys Ther Assistant license(NO.06002567A) which status is Expired.
| Name | SHACKLETON, JAMES EARL |
|---|---|
| License Number | 06002567A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |