The holder whose full name is MOORE, T DEANNE W,come from CHARLESTOWN IN,hold the Physical Therapist license(NO.05000255A) which status is Expired.
| Name | MOORE, T DEANNE W |
|---|---|
| License Number | 05000255A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | CHARLESTOWN |
| State | IN |