The holder whose full name is FORTKAMP, MARIA LOUISE,come from DAYTON OH,hold the Physical Therapist license(NO.05002565A) which status is Expired.
| Name | FORTKAMP, MARIA LOUISE |
|---|---|
| License Number | 05002565A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | DAYTON |
| State | OH |