Indiana
Professional Licensing Agency
Bradley A. Shupe
Temporary Physical Therapist Permit
License number
99037889A
Date granted
06/08/2009
Date expires
09/06/2009
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
Fishers IN 46037
indianalicensing.org
ID 8380824
LAST UPDATED 2024-01-31 06:53:41 UTC
LAST UPDATED 2024-01-31 06:53:41 UTC
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