Indiana
Professional Licensing Agency
Chris Allen Goult
Temporary Physical Therapist Permit
License number
99051978A
Date granted
05/25/2012
Date expires
08/23/2012
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
Fishers IN 46038
indianalicensing.org
ID 8380854
LAST UPDATED 2024-04-09 18:00:49 UTC
LAST UPDATED 2024-04-09 18:00:49 UTC
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