The holder whose full name is Wallace, Jessica Leona,come from Poseyville IN,hold the Phys Ther Assistant license(NO.06003473A) which status is Active.
| Name | Wallace, Jessica Leona |
|---|---|
| License Number | 06003473A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Poseyville |
| State | IN |