The holder whose full name is Gross, Kelly Lynn,come from Churubusco IN,hold the Phys Ther Assistant license(NO.06000778A) which status is Active.
| Name | Gross, Kelly Lynn |
|---|---|
| License Number | 06000778A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Churubusco |
| State | IN |