The holder whose full name is WAGONER, ALAN LEE,come from INDIANAPOLIS IN,hold the Phys Ther Assistant license(NO.06000013A) which status is Expired.
| Name | WAGONER, ALAN LEE |
|---|---|
| License Number | 06000013A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |