The holder whose full name is PORTH, MARIA THERESE,come from CENTERVILLE IN,hold the Physical Therapist license(NO.05004760A) which status is Expired.
| Name | PORTH, MARIA THERESE |
|---|---|
| License Number | 05004760A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | CENTERVILLE |
| State | IN |