Indiana
Professional Licensing Agency
Joffree J Basilisco
Physical Therapist
License number
05007999A
Date granted
03/10/2003
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
South Bend IN 46680
indianalicensing.org
ID 8377825
LAST UPDATED 2024-05-08 23:26:51 UTC
LAST UPDATED 2024-05-08 23:26:51 UTC
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