The holder whose full name is Varona, Andrea Judy,come from South Bend IN,hold the Physical Therapist license(NO.05005123A) which status is Expired.
| Name | Varona, Andrea Judy |
|---|---|
| License Number | 05005123A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | South Bend |
| State | IN |