Indiana
Professional Licensing Agency
Dennis Alan Sample
Physical Therapy Committee - Physical Therapist Assistant
License number
06002277A
Date granted
10/02/1998
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Jonesboro IN 46938
indianalicensing.org
ID 8364042
LAST UPDATED 2024-03-17 07:51:02 UTC
LAST UPDATED 2024-03-17 07:51:02 UTC
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