The holder whose full name is UPSHAW-JACKSON, ADELE,come from Ruston LA,hold the Physical Therapist license(NO.05004716A) which status is Expired.
| Name | UPSHAW-JACKSON, ADELE |
|---|---|
| License Number | 05004716A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Ruston |
| State | LA |