The holder whose full name is Hansen, Millicent Joann,come from Monroe City IN,hold the Phys Ther Assistant license(NO.06000107A) which status is Active.
| Name | Hansen, Millicent Joann |
|---|---|
| License Number | 06000107A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Monroe City |
| State | IN |