Indiana
Professional Licensing Agency
DISA GAY BANAGA UBALDO
Temporary Physical Therapist Permit
License number
99005485A
Date granted
04/15/2002
Date expires
12/04/2002
Class
Temporary Physical Therapist Permit
Status
Expired
Address
Brooklyn NY 11226
indianalicensing.org
ID 8379639
LAST UPDATED 2024-04-13 01:51:47 UTC
LAST UPDATED 2024-04-13 01:51:47 UTC
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