Indiana
Professional Licensing Agency
Amanda Grace Jacobs
Temporary Physical Therapist Permit
License number
99057314A
Date granted
05/29/2013
Date expires
08/27/2013
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
Indianapolis IN 46217
indianalicensing.org
ID 8380799
LAST UPDATED 2024-04-17 19:53:36 UTC
LAST UPDATED 2024-04-17 19:53:36 UTC
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