The holder whose full name is MAC GOWAN, JULIE LYNN,come from FORT WAYNE IN,hold the Physical Therapist license(NO.05005234A) which status is Expired.
| Name | MAC GOWAN, JULIE LYNN |
|---|---|
| License Number | 05005234A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |