The holder whose full name is TAVES, SUSAN JOY,come from MADISON WI,hold the Physical Therapist license(NO.05001840A) which status is Expired.
| Name | TAVES, SUSAN JOY |
|---|---|
| License Number | 05001840A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | MADISON |
| State | WI |