Indiana
Professional Licensing Agency
Jeff J. Russ
Temporary Physical Therapist Permit
License number
99021805A
Date granted
06/08/2006
Date expires
09/06/2006
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
Indianapolis IN 46217
indianalicensing.org
ID 8380952
LAST UPDATED 2026-05-03 13:33:58 UTC
LAST UPDATED 2026-05-03 13:33:58 UTC
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