Indiana
Professional Licensing Agency
Brock A Charleston
Physical Therapist
License number
05007638A
Date granted
04/16/2002
Date expires
06/30/2008
Class
Physical Therapist
Status
Expired
Address
Huntertown IN 46748
indianalicensing.org
ID 8372939
LAST UPDATED 2024-03-14 21:47:28 UTC
LAST UPDATED 2024-03-14 21:47:28 UTC
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