Indiana
Professional Licensing Agency
BETH ANNE LUNDBLAD
Physical Therapy Committee - Physical Therapist Assistant
License number
06000398A
Date granted
07/30/1982
Date expires
06/30/1994
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Expired
Address
FORT WAYNE IN 46804
indianalicensing.org
ID 8362767
LAST UPDATED 2026-05-19 21:13:49 UTC
LAST UPDATED 2026-05-19 21:13:49 UTC
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