The holder whose full name is Lare, Letha M,come from MADISON IN,hold the Phys Ther Assistant license(NO.06000299A) which status is Active.
| Name | Lare, Letha M |
|---|---|
| License Number | 06000299A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | MADISON |
| State | IN |