The holder whose full name is Gardner, Kinzie L,come from Fort Wayne IN,hold the Phys Ther Assistant license(NO.06004774A) which status is Expired.
| Name | Gardner, Kinzie L |
|---|---|
| License Number | 06004774A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |