Indiana
Professional Licensing Agency
Becky S. Ambrose
Temporary Physical Therapist Aassistant Permit
License number
99051898A
Date granted
05/22/2012
Date expires
07/25/2012
Class
Temporary Physical Therapist Aassistant Permit
Status
Expired
Address
Haubstadt IN 47639
indianalicensing.org
ID 8383770
LAST UPDATED 2024-02-04 20:04:49 UTC
LAST UPDATED 2024-02-04 20:04:49 UTC
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