Indiana
Professional Licensing Agency
Daniel B. Fog
Physical Therapist
License number
05008896A
Date granted
03/09/2006
Date expires
06/30/2014
Class
Physical Therapist
Status
Expired
Address
Fort Wayne IN 46818
indianalicensing.org
ID 8371427
LAST UPDATED 2026-06-02 08:53:38 UTC
LAST UPDATED 2026-06-02 08:53:38 UTC
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