Indiana
Professional Licensing Agency
DAVID O BUSTAMANTE
Temporary Physical Therapist Aassistant Permit
License number
99000893A
Date granted
08/16/2000
Date expires
09/26/2000
Class
Temporary Physical Therapist Aassistant Permit
Status
Expired
Address
Brookston IN 47923
indianalicensing.org
ID 8382926
LAST UPDATED 2024-04-14 21:25:07 UTC
LAST UPDATED 2024-04-14 21:25:07 UTC
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