The holder whose full name is VAN VIEGEN, LIZELLE,come from BIRMINGHAM AL,hold the Physical Therapist license(NO.05003785A) which status is Expired.
| Name | VAN VIEGEN, LIZELLE |
|---|---|
| License Number | 05003785A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | BIRMINGHAM |
| State | AL |