The holder whose full name is Stayback, Judith Mary,come from Rolling Prairie IN,hold the Phys Ther Assistant license(NO.06001397A) which status is Active.
| Name | Stayback, Judith Mary |
|---|---|
| License Number | 06001397A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Rolling Prairie |
| State | IN |