The holder whose full name is JONGKIND, LISA MARIE,come from La Porte IN,hold the Phys Ther Assistant license(NO.06001065A) which status is Expired.
| Name | JONGKIND, LISA MARIE |
|---|---|
| License Number | 06001065A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | La Porte |
| State | IN |