Indiana
Professional Licensing Agency
Elizabeth A. Blackburn
Temporary Physical Therapist Permit
License number
99038013A
Date granted
06/15/2009
Date expires
09/13/2009
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
Sheridan IN 46069
indianalicensing.org
ID 8380891
LAST UPDATED 2024-02-29 10:13:31 UTC
LAST UPDATED 2024-02-29 10:13:31 UTC
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