The holder whose full name is Evans, Matthew John,come from Mishawaka IN,hold the Phys Ther Assistant license(NO.06004002A) which status is Active.
| Name | Evans, Matthew John |
|---|---|
| License Number | 06004002A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Mishawaka |
| State | IN |