The holder whose full name is Besario, Consolacion,come from SOUTH BEND IN,hold the Physical Therapist license(NO.05003596A) which status is Active.
| Name | Besario, Consolacion |
|---|---|
| License Number | 05003596A |
| License Type | Physical Therapist |
| License Status | Active |
| City | SOUTH BEND |
| State | IN |