The holder whose full name is Mock, Lora Deanne,come from Champaign IL,hold the Physical Therapist license(NO.05001116A) which status is Active.
| Name | Mock, Lora Deanne |
|---|---|
| License Number | 05001116A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Champaign |
| State | IL |