The holder whose full name is Maciejewski, Teresa Lou,come from Fort Wayne IN,hold the Physical Therapist license(NO.05002388A) which status is Expired.
| Name | Maciejewski, Teresa Lou |
|---|---|
| License Number | 05002388A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |