The holder whose full name is Fautz, Michele A.,come from South Bend IN,hold the Phys Ther Assistant license(NO.06003736A) which status is Active.
Name | Fautz, Michele A. |
---|---|
License Number | 06003736A |
License Type | Phys Ther Assistant |
License Status | Active |
City | South Bend |
State | IN |