Indiana
Professional Licensing Agency
Brian William Roth
Physical Therapist
License number
05007103A
Date granted
01/09/2001
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Auburn IN 46706
indianalicensing.org
ID 8367860
LAST UPDATED 2024-05-02 07:03:04 UTC
LAST UPDATED 2024-05-02 07:03:04 UTC
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