Indiana
Professional Licensing Agency
Amor Para Generalao
Temporary Physical Therapist Permit
License number
99013826A
Date granted
08/12/2004
Date expires
10/18/2004
Class
Temporary Physical Therapist Permit
Status
Expired
Address
Fort Wayne IN 46815
indianalicensing.org
ID 8380373
LAST UPDATED 2024-04-08 05:46:09 UTC
LAST UPDATED 2024-04-08 05:46:09 UTC
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