The holder whose full name is SMITH, HEATHER L,come from PORTAGE IN,hold the Physical Therapist license(NO.05006364A) which status is Expired.
| Name | SMITH, HEATHER L |
|---|---|
| License Number | 05006364A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | PORTAGE |
| State | IN |