Indiana
Professional Licensing Agency
SUSAN JEAN LACKEY
Physical Therapist
License number
05005752A
Date granted
11/05/1997
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Portage IN 46368
indianalicensing.org
ID 8376990
LAST UPDATED 2024-04-20 02:02:33 UTC
LAST UPDATED 2024-04-20 02:02:33 UTC
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