The holder whose full name is WALLACE, ALISSA NICOLE,come from Cicero IN,hold the Physical Therapist license(NO.05006292A) which status is Active.
| Name | WALLACE, ALISSA NICOLE |
|---|---|
| License Number | 05006292A |
| License Type | Physical Therapist |
| License Status | Active |
| City | Cicero |
| State | IN |