The holder whose full name is HORNAK, TIM JAMES,come from FORT WAYNE IN,hold the Physical Therapist license(NO.05001468A) which status is Expired.
| Name | HORNAK, TIM JAMES |
|---|---|
| License Number | 05001468A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |