Indiana
Professional Licensing Agency
CHAD MICHAEL DISTELRATH
Physical Therapy Committee - Physical Therapist Assistant
License number
06002033A
Date granted
09/04/1997
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46806
indianalicensing.org
ID 8362775
LAST UPDATED 2024-02-05 15:52:56 UTC
LAST UPDATED 2024-02-05 15:52:56 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.