Indiana
Professional Licensing Agency
Jared Russell Wayne
Physical Therapist
License number
05011203A
Date granted
08/02/2013
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Valparaiso IN 46383
indianalicensing.org
ID 8378482
LAST UPDATED 2024-02-22 05:34:20 UTC
LAST UPDATED 2024-02-22 05:34:20 UTC
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