The holder whose full name is Amend, Jacqaueline Rae,come from New Albany IN,hold the Physical Therapist license(NO.05008079A) which status is Expired.
| Name | Amend, Jacqaueline Rae |
|---|---|
| License Number | 05008079A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | New Albany |
| State | IN |