The holder whose full name is DECAMARA, ANNETTE B,come from MERRILLVILLE IN,hold the Physical Therapist license(NO.05001868A) which status is Expired.
| Name | DECAMARA, ANNETTE B |
|---|---|
| License Number | 05001868A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | MERRILLVILLE |
| State | IN |