The holder whose full name is Dertz, Beth Suzanne,come from Mishawaka IN,hold the Physical Therapist license(NO.05010438A) which status is Active.
| Name | Dertz, Beth Suzanne |
|---|---|
| License Number | 05010438A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Mishawaka |
| State | IN |