The holder whose full name is Lane, Marlene R.,come from Petersburg IN,hold the Phys Ther Assistant license(NO.06000520A) which status is Active.
| Name | Lane, Marlene R. |
|---|---|
| License Number | 06000520A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Petersburg |
| State | IN |