The holder whose full name is DeBolt, Matthew Lee,come from Roanoke IN,hold the Phys Ther Assistant license(NO.06004548A) which status is Active.
| Name | DeBolt, Matthew Lee |
|---|---|
| License Number | 06004548A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Roanoke |
| State | IN |