Indiana
Professional Licensing Agency
Jerad Wayne Brickey
Physical Therapy Committee - Physical Therapist Assistant
License number
06004451A
Date granted
07/24/2012
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 8362816
LAST UPDATED 2024-03-02 12:26:06 UTC
LAST UPDATED 2024-03-02 12:26:06 UTC
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