The holder whose full name is Gonsalves, Lisa Jane,come from East Lansing MI,hold the Phys Ther Assistant license(NO.06004427A) which status is Expired.
| Name | Gonsalves, Lisa Jane |
|---|---|
| License Number | 06004427A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | East Lansing |
| State | MI |