Indiana
Professional Licensing Agency
Eric E Russel
Physical Therapy Committee - Physical Therapist Assistant
License number
06004885A
Date granted
07/18/2014
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
cedar lake IN 46303
indianalicensing.org
ID 29176543
LAST UPDATED 2024-03-01 17:59:50 UTC
LAST UPDATED 2024-03-01 17:59:50 UTC
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