The holder whose full name is PETERSON, ELLEN V,come from DEWEY AZ,hold the Physical Therapist license(NO.05000396A) which status is Expired.
| Name | PETERSON, ELLEN V |
|---|---|
| License Number | 05000396A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | DEWEY |
| State | AZ |