The holder whose full name is DAVIDSON, ANITA KAY,come from SOUTH BEND IN,hold the Physical Therapist license(NO.05001750A) which status is Expired.
| Name | DAVIDSON, ANITA KAY |
|---|---|
| License Number | 05001750A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |