The holder whose full name is VAN NIEKERK, ANNIE,come from Grand Haven MI,hold the Physical Therapist license(NO.05004892A) which status is Expired.
| Name | VAN NIEKERK, ANNIE |
|---|---|
| License Number | 05004892A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Grand Haven |
| State | MI |