Indiana
Professional Licensing Agency
Jeanette Alison Samuel
Physical Therapist
License number
05002722A
Date granted
08/17/1990
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
GOSHEN IN 46526
indianalicensing.org
ID 8372101
LAST UPDATED 2024-03-19 02:47:38 UTC
LAST UPDATED 2024-03-19 02:47:38 UTC
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