Indiana
Professional Licensing Agency
Dennis Bernardus Boom
Physical Therapist
License number
05005299A
Date granted
02/20/1997
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Carmel IN 46033
indianalicensing.org
ID 8369100
LAST UPDATED 2024-02-06 22:52:44 UTC
LAST UPDATED 2024-02-06 22:52:44 UTC
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