The holder whose full name is Wise, Annetta J.,come from Merrillville IN,hold the Phys Ther Assistant license(NO.06004535A) which status is Active.
| Name | Wise, Annetta J. |
|---|---|
| License Number | 06004535A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Merrillville |
| State | IN |