The holder whose full name is PAONESSA, MARY M,come from Fort Wayne IN,hold the Physical Therapist license(NO.05000031A) which status is Expired.
| Name | PAONESSA, MARY M |
|---|---|
| License Number | 05000031A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |