The holder whose full name is SHORT, MARY ELLEN,come from EAU CLAIRE WI,hold the Phys Ther Assistant license(NO.06000076A) which status is Expired.
| Name | SHORT, MARY ELLEN |
|---|---|
| License Number | 06000076A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | EAU CLAIRE |
| State | WI |