Indiana
Professional Licensing Agency
Beth Suzanne Dertz
Physical Therapist
License number
05010438A
Date granted
09/10/2010
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Mishawaka IN 46545
indianalicensing.org
ID 8377371
LAST UPDATED 2024-03-29 12:28:15 UTC
LAST UPDATED 2024-03-29 12:28:15 UTC
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