Indiana
Professional Licensing Agency
Henrico Marc Madrid
Physical Therapist
License number
05008201A
Date granted
09/08/2003
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
greenwood IN 46143
indianalicensing.org
ID 29178011
LAST UPDATED 2024-03-04 20:58:00 UTC
LAST UPDATED 2024-03-04 20:58:00 UTC
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