Indiana
Professional Licensing Agency
Brian Kellum
Physical Therapist
License number
05006047A
Date granted
06/01/1998
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Indianapolis IN 46259
indianalicensing.org
ID 8373081
LAST UPDATED 2024-04-12 09:38:49 UTC
LAST UPDATED 2024-04-12 09:38:49 UTC
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