Indiana
Professional Licensing Agency
JEFFREY LEE HERENDEEN
Physical Therapy Committee - Physical Therapist Assistant
License number
06001351A
Date granted
08/27/1993
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
COLUMBIA CITY IN 46725
indianalicensing.org
ID 8362085
LAST UPDATED 2024-03-23 22:14:01 UTC
LAST UPDATED 2024-03-23 22:14:01 UTC
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