Indiana
Professional Licensing Agency
Gwyn Dominguez Gumalo
Temporary Physical Therapist Permit
License number
99005795A
Date granted
05/22/2002
Date expires
05/22/2003
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
indianapolis IN 46237
indianalicensing.org
ID 8380924
LAST UPDATED 2024-04-25 04:17:15 UTC
LAST UPDATED 2024-04-25 04:17:15 UTC
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