Indiana
Professional Licensing Agency
Samantha K. Stafford
Physical Therapist
License number
05011290A
Date granted
11/06/2013
Date expires
06/30/2014
Class
Physical Therapist
Status
Expired
Address
Warsaw IN 46580
indianalicensing.org
ID 12361530
LAST UPDATED 2024-05-08 04:04:33 UTC
LAST UPDATED 2024-05-08 04:04:33 UTC
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