Indiana
Professional Licensing Agency
BRENT STAFFORD
Physical Therapy Committee - Physical Therapist Assistant
License number
06003001A
Date granted
09/10/2002
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
New Haven IN 46774
indianalicensing.org
ID 8365412
LAST UPDATED 2024-04-24 08:41:51 UTC
LAST UPDATED 2024-04-24 08:41:51 UTC
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