The holder whose full name is GUCICH, PAMELA SUE,come from PORTAGE IN,hold the Phys Ther Assistant license(NO.06000771A) which status is Expired.
| Name | GUCICH, PAMELA SUE |
|---|---|
| License Number | 06000771A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | PORTAGE |
| State | IN |