The holder whose full name is Havertape, Lainey,come from Madison WI,hold the Physical Therapist license(NO.05010306A) which status is Expired.
| Name | Havertape, Lainey |
|---|---|
| License Number | 05010306A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Madison |
| State | WI |