The holder whose full name is KRUSHOLM, LARS ERIK,come from BERRIEN SPRINGS MI,hold the Phys Ther Assistant license(NO.06001862A) which status is Expired.
| Name | KRUSHOLM, LARS ERIK |
|---|---|
| License Number | 06001862A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | BERRIEN SPRINGS |
| State | MI |