Indiana
Professional Licensing Agency
JACKIE JO FORSYTHE
Physical Therapy Committee - Physical Therapist Assistant
License number
06002186A
Date granted
06/19/1998
Date expires
06/30/2000
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Expired
Address
FREMONT OH 43420
indianalicensing.org
ID 8362983
LAST UPDATED 2024-03-27 16:03:53 UTC
LAST UPDATED 2024-03-27 16:03:53 UTC
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