License holder summary

Kristie Marie Koczor is a Temporary Physical Therapist Permit licensed to practice in Indiana. The address on file for Kristie Marie Koczor is Fort Wayne IN 46808. This licensed professional license is not current. The license was granted 08/16/2013 and expired on 11/14/2013.

Indiana

Professional Licensing Agency

Kristie Marie Koczor
Temporary Physical Therapist Permit
License number
99058597A
Date granted
08/16/2013
Date expires
11/14/2013
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
Fort Wayne IN 46808
indianalicensing.org
ID 8380416
LAST UPDATED 2024-05-10 10:52:27 UTC

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