The holder whose full name is Lain, Stephanie D.,come from Demotte IN,hold the Phys Ther Assistant license(NO.06004693A) which status is Active.
| Name | Lain, Stephanie D. |
|---|---|
| License Number | 06004693A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Demotte |
| State | IN |