Indiana
Professional Licensing Agency
ELLEN BROCK
Physical Therapy Committee - Physical Therapist Assistant
License number
06001143A
Date granted
08/28/1991
Date expires
06/30/2010
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Expired
Address
Shelby Township MI 48317
indianalicensing.org
ID 8366515
LAST UPDATED 2024-04-05 12:46:16 UTC
LAST UPDATED 2024-04-05 12:46:16 UTC
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