The holder whose full name is Mathis, Helen Jane,come from South Bend IN,hold the Physical Therapist license(NO.05000762A) which status is Expired.
| Name | Mathis, Helen Jane |
|---|---|
| License Number | 05000762A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | South Bend |
| State | IN |