The holder whose full name is EVANS, VILMA INEZ,come from PORTAGE IN,hold the Physical Therapist license(NO.05001658A) which status is Expired.
| Name | EVANS, VILMA INEZ |
|---|---|
| License Number | 05001658A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | PORTAGE |
| State | IN |