The holder whose full name is MC FANN, JULIA I,come from FORT WAYNE IN,hold the Physical Therapist license(NO.05001986A) which status is Active.
| Name | MC FANN, JULIA I |
|---|---|
| License Number | 05001986A |
| License Type | Physical Therapist |
| License Status | Active |
| City | FORT WAYNE |
| State | IN |