The holder whose full name is CHAGNON, ADA SUE,come from SULLIVAN IN,hold the Physical Therapist license(NO.05001500A) which status is Active.
| Name | CHAGNON, ADA SUE |
|---|---|
| License Number | 05001500A |
| License Type | Physical Therapist |
| License Status | Active |
| City | SULLIVAN |
| State | IN |