The holder whose full name is FORD, MARK E,come from FT WAYNE IN,hold the Speech Pathologist license(NO.22000611A) which status is Expired.
| Name | FORD, MARK E |
|---|---|
| License Number | 22000611A |
| License Type | Speech Pathologist |
| License Status | Expired |
| City | FT WAYNE |
| State | IN |