The holder whose full name is Wind, Lisa Fay,come from South Bend IN,hold the Physical Therapist license(NO.05004171A) which status is Expired.
| Name | Wind, Lisa Fay |
|---|---|
| License Number | 05004171A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | South Bend |
| State | IN |