Indiana
Professional Licensing Agency
Andre K Tate
Temporary Physical Therapist Permit
License number
99015852A
Date granted
02/23/2005
Date expires
05/24/2005
Class
Temporary Physical Therapist Permit
Status
Expired
Address
Selma AL 36701
indianalicensing.org
ID 8382253
LAST UPDATED 2024-03-23 20:26:29 UTC
LAST UPDATED 2024-03-23 20:26:29 UTC
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