The holder whose full name is IMEL, LISA ANN,come from DECATUR IN,hold the Physical Therapist license(NO.05004598A) which status is Expired.
| Name | IMEL, LISA ANN |
|---|---|
| License Number | 05004598A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | DECATUR |
| State | IN |