The holder whose full name is Nicholas, Tammy K,come from South Bend IN,hold the Physical Therapist license(NO.05008075A) which status is Expired.
| Name | Nicholas, Tammy K |
|---|---|
| License Number | 05008075A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | South Bend |
| State | IN |